◂  June 2020

Managing Reimbursement & Quality Metrics (Three-Part Series) - Part One Virtual Seminar

Published by: Aaron HOward


$79.00 Members/$158.00 Nonmembers


Karen Lennon

The Minimum Data Set (MDS) is the foundation for resident care planning in long term care, but it is also used to generate reimbursement rates under Medicare Part A and the North Carolina Medicaid program. This three-webinar series provides valuable training for the assessment nurse, Director of Nursing, Administrator, and other members of the interdisciplinary team to understand fundamentals of assessment coding, reimbursement, and the SNF QRP Quality Reporting Program.

June 16, 2020 – 10:00 am – 12:00 pm
Session 1: Accurate MDS Coding for Reimbursement and Quality Reporting
This session will cover:

  • Fundamentals of accurate assessments
  • Patient Driven Payment Model (PDPM) Components and Drivers
  • Self-Care and Mobility
  • Primary Reason for the SNF Stay and Recent Major Surgery Requiring Active Skilled Care
  • Signs and Symptoms of a Swallowing Disorder
  • What is an “Active Diagnosis
  • Coding item I8000
  • Conducting and Coding Resident Interviews

June 23, 2020 – 10:00 am – 12:00 pm
Session 2: Assessment Timing and Scheduling for PDPM and North Carolina Medicaid Case Mix
This session will cover:

  • Variable Per Diem Adjustment Under PDPM
  • Interrupted Stays under PDPM
  • PDPM Interim Payment Assessments (IPS)
  • Selecting Assessment Reference Dates (ARD)
  • North Carolina Medicaid Case Mix

June 30, 2020 – 10:00 am – 12:00 pm
Session 3: Medicare Coverage Issues and SNF Quality Reporting Program
This session will cover:

  • Medicare Part A Coverage Refresher
  • Special Waivers Related to COVID 19
  • IMPACT Act and SNF QRP
  • SNF QRP Measures
  • SNF QRP Monitoring Reports

About the Speaker

Robin L. Hillier
“I’m in the business of caring. I love working in the long term care business, and I started consulting so I could make a difference for clients and patients.”

Robin L. Hillier is a healthcare executive dedicated to post-acute and long term care. She is a Certified Public Accountant, a State Tested Nursing Assistant, a Licensed Nursing Home Administrator, and is Resident Assessment Coordinator Certified and a Master Teacher through the American Association of Nurse Assessment Coordination (AANAC). Throughout her career she has been involved in all aspects of facility operations, including ownership roles. She is currently the President of RLH Consulting, which provides operational and reimbursement consulting to providers of skilled nursing, assisted living and intellectual or developmental disabilities.

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