Description

The Medicare Reimbursement Resource Toolkit is designed for skilled nursing facility leaders and MDS/Medicare team members in mind.  This toolkit provides sample forms, policies, tools and resources to support your Medicare processes in your organization. 

The following subject areas are included in this manual with corresponding templates and interactive tools, ready for your use:

Overview of Medicare – Medicare 101 basics

• Medicare Part A, B, C, D and coverage gaps
• Benefit periods and coverage determination
• Preadmission checklist and processes
• Skill in Place
• Consolidated billing
• Physician Certification and Recertification
• Documentation requirements
• Beneficiary liability notices
• Bed Hold
• Skilled Nursing Facility Level  of Care
• SNF LOC Policy and Procedure
• Supporting Documentation
• Hospital providers for extended care services
• Medicare Advantage Plans
• Medicare PPS and Value Based Purchasing
• MDS Scheduling
• PDPM
• ICD-10 Coding and Management for PDPM
• Medicare Appeals Process
• Team Process and Documentation
• QAPI and Medicare Compliance and Ethics
• And Much More!

Downloadable