Medicare Basics

Medicare Basics manual reviews the key components of a successful Medicare program. Knowing Medicare Basics for Part A and B is essential to ensure compliance with regulations. Corresponding forms, tracking logs and QA documents for implementation by the SNF are provided.  

The Medicare Basics manual includes:

• Part A and B Compliance requirements
• Detailed procedures that include the "how to" for each key component.
• Forms are included for each step needed for your program.
• All Medicare required forms are included.
• QA audit tools to monitor your systems.
• A "systems" check list.
• 36 Medicare Nursing Charting guidelines.

The Medicare Basics manual covers:

• Medicare regulations
• PPS RUGs qualifiers
• Part A Program and Compliance
• Pre-admission and admission process with forms and QA checks.
• Level of care and nursing skilled documentation requirements.
• Physician certification forms and QA logs.
• Daily and weekly Medicare meetings and tools.
• Triple Check QA
• Procedures for SNFABN and generic notices Part A and B.
• Part B Program and Compliance
• Procedures and forms for how to respond to an ADR
• Process for Appeals and manual reviews

Guidance and forms are provided for the following:

• Part A - Step by step procedures for admissions and continued stays
• Level of care and nursing skilled documentation requirements
• Forms for SNFABN and generic notices
• Part B - Compliance requirements
• Forms for each step needed in your program
• QA audit tools to monitor your systems
• A "systems" check list
• 36 Medicare Nursing Charting guidelines
• Part B Program Compliance
• Procedures for ARD, and Appeals for manual reviews 

This manual is provided in hard copy.  All forms and QA audits are provided in hard copy and on USB/Flash Drive.