Medicare 2: SNF Eligibility

Medicare 2: SNF Eligibility 

Medicare Part 2 provides the learner with an in-depth look at the criteria required for a Medicare beneficiary to access their Medicare Part A SNF benefits. In this module we will look at the “technical” criteria including the 3-day qualifying hospital stay (QHS), 30-day transfer requirement, physician certifications and recertifications and determining Medicare benefit availability.

$50.00

Hours: 1.00
REL-PAC-0-M2SNFEL

Certificates

Certificates provided by accrediting body (0 Match)

Course Details

Course Code: REL-PAC-0-M2SNFEL
Hours: 1
Type: Online Course
Content Expiration Date: 12/31/2022
Learning Objectives:
Identify four technical criteria required to utilize SNF Medicare benefits.
Identify the requirements related to a 3-day qualifying hospital stay.
Identify the requirements related to the 30-day transfer requirement.
Identify current regulatory requirements related to SNF physician certifications and recertifications.
Describe how Medicare benefit periods are determined.

Outline:
Section 1: Introduction

About This Course

Learning Objectives

Section 2: SNF Medicare Eligibility Requirements

Technical Criteria

3-Day Qualifying Hospital Stay

30-Day Transfer Requirement/Readmissions

Review

Summary

Section 3: SNF Physician Certifications and Recertifications

Regulatory Requirements

CMS Recertification

Timeframes

Review

Summary

Section 4: Determining Available Benefits

Benefit Period

Medicare Benefit Period Myths vs. Fact

Benefit Days Available

Review

Summary

Section 5: Conclusion

Course Contributors

References

Expert Reviewer: Ron Orth RN, CHC, CMAC, AHIMA-Approved ICD-10-CM Trainer
Ronald Orth, RN, CMAC, CHC  obtained a nursing degree from Milwaukee Area Technical College in 1985 and a B. A. in Health Care Administration from Concordia University in 1996. Mr. Orth possesses over 30 years of nursing experience with over 20 of those in the Skilled Nursing industry. Mr. Orth has extensive experience in teaching Medicare regulations to healthcare providers both in the US and internationally. Mr. Orth is currently the Post-acute Care Curriculum Designer and is certified in Healthcare Compliance through the Compliance Certification Board (CCB). Ron has also successfully completed the Infection Control Officer training through the AHCA and is an AHIMA approved ICD-10-CM trainer. Disclosure: Ron Orth RN, CHC, CMAC, AHIMA-Approved ICD-10-CM Trainer has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Instructor: Kim Matthews, RN
Kimberly Matthews, RN obtained a nursing degree from Western Kentucky University in 1998.  Ms. Matthews possesses over 20 years of nursing experience with over 17 of those in the Skilled Nursing industry.  Ms. Matthews has extensive experience in MDS, restorative nursing programs, and nursing management.  Ms. Matthews is currently a Post Acute Care Content writer and subject matter expert for MDS. Disclosure: Kim Matthews, RN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Nurses; in the following settings: Post-Acute Care.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
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All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Accommodations
If you require special accommodations to complete this module, please contact Relias Customer Support here.