Too often facilities admit a resident to a Medicare Part A stay without knowing that the beneficiary either has no days in their benefit period, or has opted to utilize insurance or a Medicare C plan in lieu of traditional Medicare. In these instances, the provider is liable for all the costs & services provided to the resident. Knowledge of the beneficiary’s status is critical to the bottom line.
Join this session by expert speaker Marilyn Mines to verify coverage: Medicare A, B, or C and identify the number of days remaining in the benefit period. Other than determining the coverage, you will also understand the differences between various Medicare reimbursement programs. Learn how to utilize the HETS system to verify coverage and investigate techniques to validate inpatient stay in the acute care setting.
Who should attend?
Marilyn Mines RN, BC, RAC-CT, brings over 40 years of experience as a practicing Registered Nurse to her role as Director of Clinical Services for FR&R. While working with clients, she has been instrumental in preparations for JCAHO, Public Health and Public Aid inspections, and promoting confidence in the direct care of patients, as well as managerial staff.