Libby Faffler Case Study In Nursing Care

Libby Faffler, LNHA, got interested in healthcare administration during her undergraduate education at the University of Wisconsin-Eau Claire. Originally, when she began her college education she had wanted to be a nurse. After transferring to the University of Wisconsin-Eau Claire during her sophomore year, she realized that nursing was not the path she wanted to take. However, Libby was still interested in the healthcare field and wanted to pursue a career in that direction. When she looked at the health care administration major, she noticed that most of the pre-nursing courses she had taken coincided with the courses needed for the healthcare administrator major. For that major, students get to participate in an internship as a student …show more content…
She currently oversees a 55-bed skilled nursing facility and a 12-unit senior apartment building.
The Good Samaritan Society is one of the largest providers of senior care in the country, and so their processes are a little different than the average stand-alone facility. The Good Samaritan Society has a policy, procedure, or system in place for just about everything that could occur in one of their facilities. Due to to the nature of the working for a large organization, Libby only oversees a portion of the paperwork from her facility. In regards to reimbursement, Libby looks at the claims, accounts, and a portion of the billing space on the documentation for her facility. The remainder of the paperwork goes to The Good Samaritan’s National Campus. The National Campus ensures that all the necessary policies and procedures are followed in regards to reimbursement documentation. The National Campus also handles the appeals or denials for reimbursement. Libby said claims are often denied for reimbursement if the services are not reasonable or necessary, or if the services constitute custodial care. An example would be if the facility had a short term skilled resident who was