Medicare Beneficiary Notices
December 17, 2021
When and which Medicare Beneficiary Notice must be given are two of the most frequently asked questions. The Medicare Beneficiary Notices must be given in a timely manner even during the current public health emergency. This webinar will discuss the important processes and forms required for the expedited determination and for denial. CMS recommendations related to COVID will also be discussed. When the Medicare Beneficiary Notices are not given in a timely manner or with required forms and formatting, the facility can be found provider liable on Medicare review. This webinar is specific to Medicare A & B and Medicare Advantage A.
1. List two Medicare Beneficiary Notices that must be provided when Medicare A coverage ends and the resident remains in the facility.
2. State the Medicare Beneficiary Notice that must be provided when Part B therapy ends.
3. Explain when the CMS-R-131 should be provided.
4. Report the steps required when there is a QIO appeal.
5. Describe the process to follow when a resident is not capable of understanding the Medicare Beneficiary Notices.
Carol Maher, RN-BC, RAC-MTA, RAC-MT, RAC-CTA, RAC-CT, CPC
Carol Maher is a Board Certified Gerontological Registered Nurse with over 30 years of long term care experience and has worked in long term care in many roles. She worked as the MDS Coordinator in a 300 bed SNF in Pennsylvania for 8 years before moving to CA to become the MDS Coordinator/Director for a 1200 bed SNF in San Francisco. She has also worked as the MDS Coordinator in a SNF that typically had 60-75 residents on Medicare in addition to 160 long-term care residents. Most recently she was the Senior VP of Utilization Services and Director of Reimbursement for large multi-facility organizations.
Carol has worked as one of the Gold Standard nurses for MDS 3.0, serving on the RAP workgroup to prepare the way for the CAAs for MDS 3.0, and participating on a number of Technical Expert Panels related to MDS, Quality Measures and care planning. A sought-after speaker, she has given presentations at AANAC, AHCA and Leading Age national conferences as well as many state organization presentations. She is also a frequent author of articles related to the RAI process and PPS. Carol served as a member of the AANAC Board of Directors for 9 years. She is presently serving as the chair of the AANAC Expert Advisory Panel and as an AANAC Master Teacher of the RAC-CT and RAC-CTA certification courses. Ms. Maher is the Director of Education for Hansen Hunter & Co. P.C., providing MDS and Medicare classes across the country, presenting monthly educational webinars and completing compliance audits. She is the author of Long-Term Care MDS Coordinator’s Field Guide (HCPRO 2016).
- 1.5 credit hours for RNs
- 1.5 credit hours for NABs
This pre-recorded webinar expires on September 1, 2022.
Hansen Hunter & Co. P.C. clients are invited to access any of our webinars for free by contacting Allison Johnson at our office at 503.244.2134 to receive your free registration code.
- This nursing continuing professional development activity was approved by Montana Nurses Association, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation.
- Enduring material: To meet the requirements for these contact hours, you must watch the entire recorded presentation as well as answer and submit the post-test evaluation that is provided as a link along with the link to your webinar which you will receive via email after completing your purchase.