Profile
Reviews
the inception of the Prospective Payment System into Skilled Nursing
Facility along with the evolution and impact of the Final Rule, Balance
Budget Refinement Act and Beneficiary Improvement and Protection Act.
.
Recommended
Audience
Administrators, COO’s, CEO’s, Nursing
Management, Nursing Staff, Therapy Management, Occupational Therapists,
Physical Therapists, Speech Pathologists, Marketing Management, Social
Workers, Admissions Directors, Business Office Managers and Hospital
Discharge Planners.
Objectives
I. The learner will be able to identify major elements
of PPS/Interim Final Rule.
II. The learner will be able to identify major elements of Final Rule.
III. The learner will be able to identify the major elements resulting
from the Balance Budget Refinement Act and Beneficiary Improvement
Protection Act.
Goals
This program will enable healthcare providers to provide quality healthcare
through an understanding of the Medicare Reimbursement system in a
skilled nursing facility.
Content
Etiology PPS/Interim
Final Rule
- Rate Calculation
- Minimum Data
Set
- Definitions
- PPS vs Regulatory
- Resident Assessment
Instrument
- Assessment
Schedule
- Case Mix
- Resource Utilization
Group
- Automation
Final Rule (July
30, 1999)
- HIPPS
- PIP Payments
- Bad Debt
- OMRA
- Therapy
- LOA vs Discharge
- Billing
- Medical Review
- Staff Time
Measurements
- Consolidated
Billing
- Part B
Balance Budget
Refinement Act
Beneficiary Improvement
and Protection Act
