presented by Jane Snecinski
Financial Post Acute Advisors is a consulting firm that may be engaged to work with a SNF on a project involving compliance Nonfinancial Jane Snecinski/Post Acute Advisors has no nonfinancial conflicts to disclose
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
Jane Snecinski, FACHE, MBA
Ms. Snecinski has bachelor's and master's degrees in music and an MBA in health care administration from the University of Miami, Coral Gables, FL. She has had seventeen years of hospital administration and management experience and more than seventeen years of consulting experience in post-acute levels of care, including inpatient and outpatient therapy, sports medicine,…Read full bio
1. LTC/SNF in the Medicare Continuum of Care
In the current levels of care for Medicare beneficiaries there is a great deal of competition for patients to be admitted to various levels of care. This chapter will help participants understand the identified role of LTC/SNF in this continuum of care to be able to provide an appropriate scope of services for Medicare beneficiaries and other residents.
2. The Prospective Payment System (PPS) for SNF
As a result of the regulatory structure that defines SNF, a specific reimbursement system has been established for the Skilled Nursing level of care. It is often said that the SNF reimbursement system is a very complicated system for a less sophisticated level of care. Therefore, understanding the intent of the system and how the reimbursement categories were established to provide appropriate reimbursement for resources provided is critical. This chapter focuses on the process that results in the assignment of a specific reimbursement category for each patient/resident as well as the wide variance in reimbursement categories and examples of associated reimbursement.
3. The Minimum Data Set (MDS) Tool
The various reimbursement categories of the PPS for SNF are determined by an accurate, timely, and comprehensive completion of the MDS for each resident at clearly identified time frames of the stay. This chapter will help the team understand the process for completion and their role in ensuring accuracy of the data set.