In this LTC NAC Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist with AAPACN, discuss the Medicare appeals process in skilled nursing facilities.
Additional Resources:
- Medicare Parts A & B Appeals Process: How the Five Levels of Appeal Work – AAPACN Article
- Medicare Advantage vs. FFS Part A Expedited Determinations: What’s the Difference? – AAPACN Article
- RAC-CTA – Medical Reviews and Oversight for the Advanced Medicare Specialist – Online + PDF – AAPACN On-Demand Course
- Medicare Basic Training Part 9: Beneficiary Notices Initiative On-Demand Workshop – AAPACN Training
- Medicare Basic Training Part 10: Medical Review and Appeals On-Demand Workshop – AAPACN Training
- Original Medicare (Parts A and B Fee-for-Service) Initial Determination/Appeals Process – CMS Flow Chart
- Beneficiary Notices Initiative – CMS Forms and Instructions for Notices
- CMS Levels of Appeal – Website Reference
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