1. Medicare Conditions of Participation (CoPs) Related to Eligibility
To ensure the participants have a baseline knowledge of Medicare requirements, this chapter provides information about the Medicare Manual and CoPs. The focus of the discussion is on the need to know and to understand the applicable CoPs, recognize their importance, and be able to operationalize these successfully within their agencies. A review of the top reasons for Medicare denials is presented to enable participants to determine trends in their agencies related to Medicare requirements.