Comprehensive Guide To SNF Medicare Appeals

Event Information
Product Format
Prerecorded Event
Caroline Mullin, MS, OTR/L
60 Minutes
Product Description

Various Levels Of Medicare Appeal

A comprehensive review of the Medicare appeal process appropriate for all SNF nursing staff, management, and therapy professionals. During this session, speaker Caroline Mullin, MS OTR/L , will discuss the various levels of Medicare appeal rights of the Providers, how facilities can thoroughly and timely manage the appeal process, and how facilities can participate in a successful ALJ hearing.

Session Objectives:    

  • The learner will be able to summarize the various levels of Medicare appeal.
  • The learner will be able to summarize how to best approach the appeal process.
  • The learner will be able to summarize strategies for a successful ALJ hearing.

Session Goals:

This program will aid healthcare providers to establish Protocols and Processes to insulate Medicare Part A and Part B revenue through an understanding of the SNF setting audits, documentation requirements, Medicare criteria and best practice for appealing Medicare Claim denials. With this session, the attendees will be able to understand the nuances of Medicare appeals and implement them effectively in their practice without any further ado.

Session Content:

  • Defining levels of Medicare appeals
  • When and how to continue the appeal process
  • A successful ALJ hearing
  • What to do when you get an ADR

Who should attend: MDS Coordinators, nurse managers, directors of nursing, nursing staff, administrators, social workers, therapists, discharge planners and admissions directors.

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About Our Speaker

Caroline Mullin - Home Health Coding Expert

Caroline Mullin, MS OTR/L is a Corporate Consultant and the Denial Manager for Harmony Healthcare International (HHI), an industry leader in Long-Term Care Consulting. 

HHI is a premier Long-Term Care Consulting firm specializing in Reimbursement and Compliance.  In her role,

Caroline has extensive knowledge in the areas of MDS 3.0, RUG-IV, Documentation, Therapy Program Development, state-specific Medicaid Case Mix and Denials Management. Academically

Caroline...   More Info
More Events By The Speaker

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