Description

The Centers for Medicare & Medicaid (CMS) Quality Improvement Organization (QIO) reviews thousands of appeals annually. In 2019, approximately 50% of Florida appeals submitted were terminated due to technical failures which were often the fault of the submitting provider. These failures can result in substantial revenue loss to the provider. Multi-faceted, these failures include issues with the Notice of Medicare Non-Coverage (NOMNC) form, records submission, and meeting deadlines. During this program, the speaker will review the basics of NOMNCs, how to respond to a QIO appeal request, and how to avoid common mistakes.

Learning Objectives

By the conclusion of this program, the attendee should be able to:

1. Understand the background and federal requirements for issuing a NOMNC, and the beneficiary's right to appeal to the QIO.
2. Explain how to properly issue a NOMNC, respond to a QIO appeal, and the critical importance of understanding the process.
3. Recognize the most common errors associated with NOMNCs and appeals that can have a financial impact on the provider.

Meet the Speaker

Nanette Smith, NHA, is Managed Care Liaison at Managed Care Consultants of Florida. She is a National Home Administrator (NHA) who has converted her operations knowledge to the world of managed care. She holds a bachelor's degree in Business Administration and in Long-Term Care Administration. She is versed in all levels of managed care, specializing in systems and processes to achieve the highest financial reimbursements possible.

Continuing Education

Attendees receive 1.0 continuing education unit for skilled nursing, occupational therapy, and speech therapy.

Save Your Spot…Register Now!

Register online or call (850) 222-8967 to register by phone. HCAF members receive a discounted registration rate! To obtain the member discount, please log in to your profile before registering. Registration fees for this program are as follows:

• HCAF Members: $29
• Prospective Members: $58

Please log in to the program at least 15 minutes prior to the start time. Additional logins will be charged an additional registration fee. By registering for this event, you are agreeing to our payments, cancellation, and substitution policies.

Sponsors Wanted 🙏

HCAF offers a multitude of ways for home care industry vendors to promote products and services, including through educational program sponsorships. Gain additional exposure for your organization by sponsoring a program! Click here to learn about the benefits of sponsorship.

For more information, email Monica Smith, Deputy Director, at msmith@homecarefla.org.