Would this Claim Survive Review?

Skilled Nursing Facilities continue to face ongoing scrutiny of PDPM claims from both Medicare and Managed Care organizations. As documentation reviews and audits remain a regular part of the reimbursement landscape, providers often look for practical ways to better understand common denial reasons and how claims are evaluated during review.

Join us for this interactive webinar where we will walk through several real-world PDPM case scenarios based on common denial reasons. Throughout the session, participants will have the opportunity to review key information from the patient record and consider whether the claim would be likely to withstand audit review.

We will then discuss the actual outcomes of these cases and highlight the documentation and clinical factors that influenced the final decision.

We will cover:

• Common PDPM denial reasons seen across Medicare and Managed Care
• Case scenarios based on real audit situations
• Key elements reviewers evaluate when assessing PDPM claims
• Practical insights to strengthen documentation and reduce denial risk

Multiple times to join us, so save your seat HERE!