Know the Rules, Win the Fight: Inside SNF Medicare Appeals

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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This episode is 23 minutes long.

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This episode was published on June 4, 2025.

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