Know the Rules, Win the Fight: Inside SNF Medicare Appeals
Update: 2025-06-04
Description
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
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
Comments
In Channel
Download from Google Play
Download from App Store
United States00:00
00:00
1.0x
