Is your facility ready for the coming Medicare claim audits? Now’s the time to prepare!
On May 4, CMS issued Pub 100-20 Transmittal 12015 mandating Medicare Area Contractors to conduct a 5-Claim Probe and Educate Review for all SNFs in response to the CERT program’s 15.1% improper 2022 payment rate. After rescinding the first transmittal, CMS released Pub 100-20 Transmittal 12037 on May 15, repeating the SNF 5-Claim Probe Educate Review mandate and stating the identification of improper payment would result in adjustment or denial of claims.
As of June 5, MACs have begun a nationwide prepayment review, starting with the top 20% of providers showing the highest risk profiles. The main reason for claim adjustment or denial is a lack of documentation.
How can you prepare for the coming audits? Watch this webinar to learn about:
- The recent CMS memorandum regarding the SNF 5-Claim Probe and Educate Review
- The most frequent reasons for Medicare Part A claim denial
- Documentation best practices to support your Medicare claims
- Step-by-step procedures to prepare and respond to this or any Medicare audit
[Webinar] Claim Reviews: A Survivor’s Guide
Prepare NOW for Medicare Claim Audits
About your expert
Alicia Cantinieri, MBA, BSN, RN, RAC-MT, RAC-CTA, QCP, DNS-CT
VP of MDS Policy and Education, Zimmet Healthcare
With over 27 years of experience in long‐term care reimbursement and clinical consulting, Alicia is an expert and speaker on the Minimum Data Set (MDS), care planning, and clinical reimbursement and compliance. She is an AAPACN Resident Assessment Coordinator‐Master Teacher (RAC‐MT) and has earned Resident Assessment Coordinator Advanced (RAC‐CTA), QAPI Certified Professional (QCP), and Director of Nursing (DNS‐CT) certifications.
10 Comments on “[On-Demand] A Survivor’s Guide to Claim Reviews: Prepare NOW for Medicare Claim Audits”
I want information on how to prepare for Medicare Claim Audit.
Hi Carina — please use the blue registration button above to register for the webinar. If it’s not working for you for some reason, please email simple@ntst.com. Thanks!
Lookin forward to learn more about Med A
interested in attending this webinar
Hi Ranjana — Please register using the blue button above. If it’s not working, please email simple@ntst.com. Thanks!
thank you
I am new in the field of MDS and looking forward to attending this seminar with the hope of improving my assessment skills.
Thanks, Tumani! Glad you’re able to attend the training.
Looking forward to attend, charting has been challenging and remains a concern.
Thanks, Patti! Looking forward to having you join the training. Feel free to forward the info to your colleagues as well.