Four Days of Live Interactive Virtual Training 2p-4p Each Day: Nov. 3, 5 and Nov. 18 & 19

For Georgia skilled nursing facilities, Medicaid reimbursement begins long before a claim is submitted. This program focuses on admission screening, Medicaid pending management, documentation collection, guardianship issues, fair hearings, and strategies to improve approval rates while reducing financial risk.

Learning Objectives

• Pre-Admission Evaluation: Assess Medicaid eligibility prior to resident admission.
• Risk Identification: Pinpoint financial barriers and eligibility risks early.
• Pending Management: Reduce Medicaid pending days and streamline workflows.
• DFCS Communication: Improve direct communication and escalation with DFCS caseworkers.
• Asset & Transfer Rules: Navigate transfer penalties, joint accounts, and asset complexities.
• Guardianship Guidance: Handle legal guardianship and conservatorship cases effectively.
• Appeals Preparedness: Strengthen preparation for appeals and formal fair hearings.

Webinar Training Modules

• Module 1: Understanding Georgia Nursing Home Medicaid Review the rules of Georgia Nursing Home Medicaid, including basic eligibility requirements and patient liability.
• Module 2: Medicaid Eligibility Screening Before Admission Evaluate intake referrals and identify financial risks prior to admission.
• Module 3: Managing Medicaid Pending Residents Set up documentation collection systems, track application status, communicate with applicants/representatives, collaborate with DFCS caseworkers, and escalate delayed cases.
• Module 4: Solving Difficult Eligibility Cases Navigate obstacles related to uncooperative family members, missing financial records, unknown assets, and suspected financial exploitation.
• Module 5: Guardianship and Conservatorship Practical Guidance Identify when guardianship is necessary, navigate Georgia probate court procedures, manage emergency guardianship considerations, and work with court-appointed guardians and conservators.
• Module 6: Transfer Penalties & Understanding Transfer Rules Examine the 5-year look-back period, gifts, real estate transfers, joint accounts, transfer exceptions, and hardship waiver considerations.
• Module 7: Appeals and Fair Hearings Cover common denial reasons, requesting reconsideration, preparing appeals and fair hearing requests, organizing supporting documentation, and navigating the administrative hearing process.
• Module 8: Successful Medicaid Strategies Build internal accountability and establish recommended operational workflows across Admissions, Business Office, Social Services, and Administration.

CEU HOURS

10 CEU Hours in Financial Management for Georgia Nurses and Long Term Care Facility Administrators