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Educational Webinars
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QAPI: How to Breathe Life into Your Program – June 3, 2025
Description: Effectively improving quality of care, outcomes, and overall quality measures is the intended purpose of QAPI. Strategies to improve Quality Assurance and Performance Improvement programs will be discussed, including using a data-driven approach to foster change. Attendees will review leadership and staff engagement, prioritization, accountability, and best practices.
What You’ll Learn:
- We will explore the core principles of QAPI and recognize its significance beyond a checklist approach – gain insights into how a comprehensive understanding of QAPI can drive a culture of continuous improvement and positively impact quality measures.
- Practical approaches to embed QAPI principles into the daily operations of all sectors of long-term care. Real-world examples demonstrating successful integration, emphasizing the impact on the care of individuals we serve.
- We’ll discuss the importance of staff empowerment in the QAPI process. Explore training programs, communication strategies, and recognition.
Presented By: Liz Wheeler, BSN, RN, CHPN, IPCO, QCP, CDP
Clinical Consultant | Proactive LTC Consulting
LTC Surveyor Guidance: What’s Changing & How to Prepare – March 18, 2025
Stay Ahead of Compliance Updates – Learn What’s Changing on March 24th
Description: Big changes are coming to the Long-Term Care (LTC) survey process going into effect March 24th! Join us for an essential 1-hour virtual training where we’ll break down the latest CMS surveyor guidance updates—including key compliance changes, best practices, and how to prepare your team for success.
What You’ll Learn:
- The most critical updates to surveyor guidance, including rules on admissions, discharges, chemical restraints, infection control, and more.
- Best practices to ensure your facility is survey-ready—covering documentation, staff training, and compliance strategies.
- How changes to Critical Element Pathways & Appendix PP impact your next survey.
- Actionable steps to align your policies before March 24th, 2025.
Speaker: Janine Lehman, RN, RAC-CT, CLNC | Proactive LTC Consulting
The Power of Values in Your Workplace Culture – March 4, 2025
In this interactive virtual session, we will explore the importance and power of both personal and collective team values in shaping workplace culture. You will gain insight into the Culture Values Assessment process and receive simple yet powerful tools to create an immediate, positive impact on your culture.
Designed to be fun and engaging, this session will provide actionable strategies to enhance your team’s culture and effectiveness.
Speaker: Ray Dickison, FACHCA
President & CEO – Wesley Manor Retirement Community & Methodist Retirement Homes of Kentucky, Inc.
Culture Consultant – Drive
2024 in Review: Denials, Managed Care & the Road Ahead – January 21, 2025
Dive into the 2024 trends shaping denials management and managed care in the SNF industry. We’ll explore the biggest challenges, uncover emerging patterns, and share valuable insights to help you stay ahead in 2025.
Learning Objectives:
- Analyze 2024 Medical Review Trends, Including Common Challenges and Areas of Opportunity
- Examine Current Managed Care Landscape and Impact on Revenue Cycle
- Review 2025 Updates to the Physician Fee Schedule
Speaker: Stacy Baker, OTR/L, RAC-CT, CHC, Proactive LTC Consulting
The Importance of GG and the DC Functional Score – October 8, 2024
Join us for an overview of GG Functional Assessment best practices and the impact of GG on the Quality Measures. We will look closely at functional status Quality Measures focusing on the Discharge Functional Score.
• Learn the Importance of a Thorough and Accurate Functional Assessment
• 3 Ways to Gather Information for GG Functional Assessment
• 3 Covariates of Discharge Function Score
Speaker: Rosanna Benbow, RN, CCM, ICC, IP, DNS-CT, QCP, RAC-CTA, Proactive LTC Consulting
Preparing for the October 1st MDS Changes – September 3, 2024
Last October marked the most significant update to the MDS 3.0 since its inception in 2010, including removing section G from the MDS. As facilities continue to struggle with the transition in the function assessment from Section G to Section GG, CMS has released the draft version MDS 1.19, which includes additional changes to Section GG. While these changes may be minor, it is important to understand the impact of the completion of this section has on accurate assessment, quality reporting, and regularity compliance. This session provides an overview of the updated coding guidelines related to section GG and the impact of the MDS changes.
Learning Objectives:
- Review the changes to Section GGs and the related coding guidelines from the RAI Manual.
- Understand the impact of these changes on the quality reporting.
- Provide an overview of additional MDS item changes and their impact.
Speaker: Christine Twombly, RN-BC, RAC-MT, RAC-MTA, HCRM, CHC, Clinical Consultant, Proactive LTC Consulting
New Medicare Advantage Requirements – May 21, 2024
Join us for a comprehensive webinar on the latest Medicare Advantage requirements that every healthcare provider should be aware of. As the landscape of Medicare continues to evolve, understanding these changes is crucial for ensuring compliance and providing quality care to patients.
Learning Objectives:
- Limitations on Prior Authorization – Learn about the new restrictions and guidelines surrounding prior authorization, ensuring smoother and more efficient patient care processes.
- Utilization Management During the Patient Stay – Explore best practices and updated protocols for utilization management to optimize patient stays and enhance the quality of care.
- Claims Processing, Audits, and Review – Get insights into the latest updates on claims processing, including the audit and review processes, to minimize errors and ensure timely reimbursements.
Speaker: Sarah Becker, RN, RAC-CT, DNS-CT, QCP, Clinical Consultant, Proactive LTC Consulting
Preparation for Managed Medicaid with a Quality Focus – March 5, 2024
This session includes a review of the upcoming shift to Managed Medicaid in Indiana. We review major areas of impact as well as action steps for providers to begin taking to prepare elders and their families. We address both the Medicaid Quality add-on and a summary of the upcoming Managed Medicaid.
Speaker: Rosanna Benbow, RN, CCM, ICC, IP, DNS-CT, QCP, RAC-CTA, Proactive LTC Consulting
Avoiding Litigation – November 21st, 2023
This session will review key strategies to avoid litigation in long-term care facilities. We will review common reasons why residents and families sue and discuss strategies to reduce lawsuits. Additionally, it will include a discussion on the use of facility arbitration agreements.
Learning Objectives:
- Discuss Reasons Why Residents and Families Sue
- Explain Key Strategies to Help Prevent Litigation
- Understand Requirements Related to the Use of Arbitration Agreements
Speaker: Shelly Maffia, MSN, MBA, RN, LNHA, QCP, CHC, CLNC, CPC, Director of Regulatory Services, Proactive LTC Consulting
Impact of MDS Changes on Quality Measures & Five Star Rating System – Oct. 24, 2023
With the updates to MDS 3.0 on 10/1/2023, the assessment of function status in the SNF will transition for Section G to Section GG as Section G for the most part will be removed from the MDS. Currently, many of the Quality Measures that are utilized in the Five Star Rating system are calculated based either directly or indirectly through risk adjustments on data from Section G. The Quality Measure will be undergoing a significant overhaul with this changeover. This webinar will provide an overview of the impact of these changes.
Learning Objectives:
- Review the Five Star Rating system with a focus on the Quality Measure Domain.
- Identify three MDS quality measures that will be impacted by the removal of Section G.
- Understand the key differences between Section G and GG.
- Strategize changes to documentation system to effectively code the functional status and avoid functional decline.
SPADES and the Final RAI Manual Updates – Sept. 19, 2023
Description: October 1. 2023 will mark the most significant change to the MDS 3.0 since its inception in 2010. Many of the data element changes on the MDS assessment relate to the Standardized Patient Assessment Data Elements (SPADES). The accurate completion of these new SPADES items is critical to individualized resident discharge planning as well as the SNF Quality Reporting Program (QRP). During this webinar, we will also provide an overview of the updates from the finalized RAI Manual.
Learning Objectives:
- Review the IMPACT Act as it relates to SPADES and SNF Quality Reporting Program.
- Identify the new SPADEs MDS items used in the Calculation of the two new SNF QRP Measures related to the Transfer of Health Information.
- Understand the relationship between the SPADES on the MDS and individualized discharge care planning.
Introduction to Substance Use Disorder – August 22, 2023
The number of older adults with substance use disorder (SUD) has increased in recent years, increasing the need for post-acute care services that can accommodate residents experiencing SUD along with other co-occurring disorders. This webinar provides an introduction to SUD, regulatory requirements, and action steps to effectively take care of this population.
Learning Objectives:
- Define substance use disorder
- Review regulatory requirements relating to caring for this population
- Provide interventions to help facilities care for residents admitting with SUD
Slides | Sample Behavior Contract
MDS Mashup – Preparing for October Updates – July 25, 2023
An updated version of the MDS 3.0 (version 1.18.11) will be implemented effective October 1, 2023, and the new MDS 3.0 data set is undergoing some of the most significant changes to the RAI since its implementation in 2010. This session will review key changes to the MDS item sets with a special focus on Section GG revisions and coding accuracy.
Learning Objectives:
- Become familiar with changes to the MDS version 1.18.11 drafted for implementation 10/01/2023.
- Review revised Section GG data elements and considerations for accurate assessment.
- Evaluate the impact of the removal of Section G and the importance of refocusing on Section GG accuracy.
Medicare Compliance, Avoid Common Errors – June 13, 2023
- Review key requirements for SNF certification and recertifications
- Understand appropriate circumstances for delivering beneficiary notices (SNFABN, NOMNC, etc)
- Identify common errors and apply strategies to avoid them
Recording | Slides | Handouts: Beneficiary Notices Guidelines | CMS-20052 | Signature Sheet | Examples
Top SNF Denial Trends & How to Avoid Them – May 16, 2023
This session provides an overview of trends in medical review, and common Medicare and Managed Care denial trends with case studies. Proactive measures to reduce risk and improve outcomes under payer audits is covered and fundamentals of a strong documentation program to support billed services is emphasized.
- Identify Key SNF Medical Review Risks Based on Recent Audit Activity.
- Review Strategies to Drive Successful Outcomes Under Medical Review.
- Identify Steps to Improve Medical Review Outcomes, Documentation Quality, and Program Compliance.
Recording | Slides | 2021 ADR Part A Checklist | 2022 ADR Response Procedure
Therapy Marketing Must-Haves for Better Engagement – May 2, 2023
This session focuses on marketing key areas of importance when attracting new customers. From word of mouth, outcomes, and equipment knowledge…you will learn what different messages increase confidence, appeal, and positive brand awareness for your rehabilitation programs. This session provides a basic, but detailed understanding of how to discuss therapy in addition to more advanced information regarding key statistics, clinical programming, and more.
Survey Success! Avoid Top Citations. Overview of Survey Process & Current Survey Trends – March 28, 2023
This session reviews the long-term care survey process and current survey trends across the nation, with an emphasis on strategies for successfully managing the survey process & understanding the critical element pathways used to guide surveyor investigations and implementing survey preparedness activities to promote survey success.
- Understand how the long-term care survey process is conducted
- Identify current survey trends across the nation
- Explain key strategies for survey success with the long-term care survey process
Recording | Slides | Discipline-Specific Survey Management Duties | FY2023 Quarter 1 IJ Summary- Regions 1-4
VBP 2023: 2-Part Series
Part 1: Value-Based Partnerships – January 24, 2023
- Overview of Value-based Programs, Performance Networks, Why It’s Important to Partner and Collaborate with Health Systems
- The Future of Value-based Partnerships & Why It’s Important to Prepare Now
- CMS’ Outlook for the Future
Part 2: Value-Based Clinical Interventions – February 21, 2023
- Interventions for Clinicians in the Post-acute Setting to support value-based initiatives
- Ways to Improve Performance Outcomes within Post-acute Facilities
- How Clinical Interventions Help Drive Patient Safety, Increase Quality, and Lower Cost
Time for a Remix: Case-Mix Strategies for Accurate Assessment & Financial Success – November 29, 2022
The nursing facility case-mix system identifies acuity variances between residents and parallels reimbursement with the resource needs of the residents based on this acuity. This training session focuses on general principles regarding RUG classification under Medicaid Case Mix. Gain insight into resident-specific clinical factors, rehabilitation, and restorative nursing considerations applicable to the case-mix index. Best practices to enhance documentation and MDS coding accuracy to reflect resident conditions and services for reimbursement will be emphasized.
- Review general RUG conditions and services
- Discuss rehabilitation program utilization
- Explore restorative nursing program criteria
- Review supporting documentation guidelines
- Identify interdisciplinary best practices for accurate case-mix reimbursement
Objectives:
- Understand key concepts of the RUG Grouper Reimbursement Model and Classification Methodology.
- Understand therapy and restorative nursing program criteria and the impact on case-mix.
- Describe interdisciplinary systems including, but not limited to IDT communication strategies, documentation, and coding/billing best practices for case-mix accuracy and compliance.
Target Audience: Nursing, MDS, Rehab, Administrator, Business Office
Recording | Slides | Handouts: Section G ADL Coding Quick Tips | IN Rapid RUG Guide | KY Rapid RUG III-34 Grouper Guide
Section GG: Back to Basics and Beyond – October 25, 2022
Under PDPM, Section GG significantly impacts Medicare reimbursement. This 1-hour webinar focuses on effective systems for gathering data and documenting function to support coding decisions for the MDS 3.0 Section GG. Included is a review of Section GG items used to determine PDPM function scores, how those scores are calculated, and how to establish interdisciplinary approaches to ensure accurate assessment and coding of Section GG items.
- Understand the current RAI instructions and guidelines applicable to coding Section GG.
- Describe how and why Section GG functional outcomes are collected and reported.
- Accurately code section GG using definitions and tips provided.
- Identify common missed opportunities found within Nursing, NTA, and SLP Components.
Demystifying SNF QRP Quality Measures – September 20, 2022
The SNF Quality Reporting Program creates quality reporting requirements, as mandated by the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act), The IMPACT ACT requires the reporting of standardized patient assessment data with regard to quality measures and standardized patient assessment data elements across post-acute care settings. SNFs report this data primarily through the submission of MDS assessments for Medicare Part A beneficiaries. The SNF QRP measures include both process and outcome-based measures with a focus on improving the quality of care across post-acute care settings. Failure to submit required quality data can result in payment penalties with the SNF will be subject to a two percentage (2%) point reduction in the Annual Payment Update (APU) for the applicable performance year. The SNF QRP measures are reported on the Care Compare website. To ensure the accuracy of the reported data, CMS provides SNFs the opportunity to review and correct the data prior to it being posted. This course provides an overview of the reporting requirements, the methodology for calculating the SNF QRP measures, and detailed strategies for ensuring compliance with the reporting requirements and proactively improving outcomes with a focus identifying on areas for quality improvement.
- Clarify the Difference Between a Process Measure and an Outcome Measure
- Identify the 2 Outcome Measures Impacted by Section GG and Therapy Outcomes
- Available CASPER Reports can Assist with Validating Compliance with the Data Reporting to Avoid the 2% Reduction in the Annual Percentage Update (APU)
Implementing a Successful Restorative Program and Overcoming Common Barriers – July 12, 2022
This webinar focuses on meeting restorative requirements and implementing effective processes for assessment and program transitions. The restorative levels of care and resident transitions within the levels are discussed. Gain insight into the selection of appropriate RNP candidates. Instruction includes case study review and referral documentation examples for each type of restorative program. Special considerations for residents with a history of COVID-19 positive status are reviewed. Common barriers to maintaining a successful restorative program are identified with suggested solutions.
- Review process considerations for developing/ implementing RNPs, and/or improving the effectiveness of an existing RNP
- Overview of restorative levels of care and the selection process for appropriate RNP candidates
- Review appropriate referral documentation for the types of programs
- Identify barriers and possible solutions for maintaining a successful program
Strategies for Successful Fall Prevention Programs
Part 1: Fall-Related Regulatory Tags, Regulatory Requirements, and Fall Prevention Strategies – April 12, 2022
Target Audience: Administrators, DON, ADON, MDS, Charge Nurse
- Identify key risk factors for geriatric falls and assessment processes to objectively measure individual risk.
- Identify appropriate steps to take when a fall occurs, including fall scene investigation elements and post-fall assessment standards.
- Apply root cause analysis following a fall to guide interventions.
- Determine appropriate interventions based on clinical assessment data, falls history trending, and person-centered preferences and routines.
Part 2: Fall Interventions and the HTS Clinical RISE & STEADY Falls Programs – May 10, 2022
To Skill or Not to Skill: Making the Right Decision – February 8, 2022
- Review Medicare Coverage Guideline Criteria Required to Skill a Patient
- Discuss Facility Processes for Determining the Primary Skilled Stay Diagnosis
- Best Practices Necessary for SNF Claim Reimbursement
Quality Measures Round-Up! Paving the Way for a Five-Star Rating – December 14, 2021
This webinar reviews both long and short stay Quality Measures. Specific instruction on how each measure is calculated is provided, as well as guidance on how to monitor each measure. Sample reports are reviewed, as well as suggested processes and best practices for improving overall star ratings.
- Understand the purpose of Quality Measures and how each is calculated.
- Explore ways in which facilities can increase their Five-Star rating.
- Describe ways in which your facility can improve its Quality Measures.
IPA Determination & Tracking Interrupted Stays – November 9, 2021
- Understand the role that the IPA plays in payment reclassification.
- Discuss clinical change(s) that would indicate completing an IPA assessment.
- Identify IPA ARD, completion, and submission timeframes.
- Review the interruption window and when a stay is considered “interrupted.”
2021 Medical Review Update – October 12, 2021
- Identify key SNF medical review risks based on recent audit activity.
- Review strategies to drive successful outcomes under medical review.
- Identify steps to improve medical review outcomes, documentation quality, and program compliance.
Person-Centered Care Planning: Identifying Goals and Developing Care Plans – September 14, 2021
We review how to develop a person-centered POC utilizing the nursing process with an interdisciplinary approach. Specific instruction on effectively formulating goals for interventions are provided, as well as guidance on evaluating and updating goals. Sample care plans are reviewed, as well as suggested processes and best practices for meeting regulatory requirements.
It Takes a Village — Collaboration for Successful Care Transitions – August 17, 2021
Successful care transitions and client experiences expand well beyond the discharge. Whether those we serve return to their home in the community or back to their apartment on our campus, taking a deep dive into the processes behind proper care transition can greatly reduce your risk for readmission penalties, “blast” apart from the status quo of the industry norms all while making you the most trusted provider to your community and acute care partners.
Effective Clinical Meetings to Impact Quality of Care – July 13, 2021
Effective and timely communication of information and meaningful collaboration is essential for quality patient care. This webinar discusses approaches to planning, conducting, and participating in an effective IDT clinical meeting. Attendees will understand clinical item content, issues, and care plan updates to include in the meeting. IDT members will gain insight into their roles in the meeting along with the importance of follow-up.
Restorative Nursing Excellence: Revitalizing Programs & Restoring Function After COVID-19 – June 8, 2021
We review the approved Restorative Nursing programs, identify practical solutions to implementing the programs, review care plan templates, tools, and resources including a competency checklist to implement effective Restorative Nursing programs in your facility after COVID-19.
Indiana Case-Mix Classification, Accuracy, Documentation, and Management – PART 1 & 2 – May 11 & 18, 2021
The Indiana Medicaid nursing facility case-mix system identifies acuity variances between residents and parallels reimbursement with the resource needs of the residents based on this acuity. This training session will exam general Medicaid case-mix concepts including the case-mix calculation method and payer determination. Included is a brief review of the case-mix roster, MDS calendar, and posting dates. Participants will gain insight into RUG classification criteria for extensive services, rehabilitation, and special care with a discussion of corresponding supporting documentation guidelines.
- Review general Medicaid case-mix concepts
- Understand RUG Grouper Reimbursement Model and classification method
- Identify RUG conditions and services for specific classification groups
- Review supporting documentation guidelines
Part 1: Recording | Handouts: Slides | Rapid RUG-IV Guide | Section G ADL Coding
Part 2: Recording | Handouts: Slides
Kentucky Case-Mix Classification, Accuracy, Documentation, and Management – PART 1 & 2 – APR 13 & 20, 2021
The Kentucky Medicaid nursing facility case-mix system identifies acuity variances between residents and parallels reimbursement with the resource needs of the residents based on this acuity. This training session will exam general Medicaid case-mix concepts including the case-mix calculation method and payer determination. Included is a brief review of the case-mix roster, MDS calendar, and posting dates. Participants will gain insight into RUG classification criteria for extensive services, rehabilitation, and special care with a discussion of corresponding supporting documentation guidelines.
- Review general Medicaid case-mix concepts
- Understand RUG Grouper Reimbursement Model and classification method
- Identify RUG conditions and services for specific classification groups
- Review supporting documentation guidelines
Mastering the Infection Control Focused Survey Process – MAR 9, 2021
This session overviews the Focused Infection Control Survey Process including guidelines for conducting FIC surveys, survey procedures, enhanced enforcement actions, and common citations.
Recording | Handouts: Slides Entrance Conference Form COVID-19 FIC Survey Entrance Conference Worksheet CMS-20054 Infection Prevention Control & Immunization
The In’s and Out’s of Depression in Long Term Care – FEB 9, 2021
The webinar includes a review of the PHQ-9 interview, including best practices. Gain insight on depression in a pandemic and suggested interventions. The impact of depression under PDPM payment is discussed, as well as how depression impacts quality measures, with an emphasis on improvement strategies.
Long Term Care COVID-19 Legal Hot Topics – JAN 14, 2021
This session explores the unprecedented variety of legal issues that have developed during the COVID-10 Pandemic. Infection Control litigation involving COVID-19 infections of residents and staff are discussed. We delve into best practices for communication and documentation, as well as strategies for litigation prevention.
Medicare Documentation: Best Practices Supporting Skilled Nursing Services – DEC 15, 2020
This webinar includes a brief overview of skilled level of care criteria with a deep dive into skilled nursing services and documentation to support the skilled stay. Documentation examples for various case scenarios, including skilled services related to COVID-19 condition.
- Understand Medicare coverage guidelines that pertain to SNF services.
- Understand what nursing services are considered as skilled level of care.
- Describe documentation requirements and best practices to support skilled nursing services.
Recording | Handouts: Slides & Quick Tips
To Skill or Not To Skill: Making the Decision on COVID and Other Skilled Scenarios – NOV 17, 2020
This webinar focuses on skilled coverage criteria for those affected by COVID-19 and best practices to successfully manage Medicare admissions. The webinar includes a review of skilled level of care criteria with an emphasis on skilled nursing services and documentation to support the skilled stay, including considerations for skilling COVID residents.
- Review Skilled Coverage Eligibility During COVID-19
- Discuss Strategies to Successfully Manage Medicare Admissions During the COVID-19 Crisis
- Review Documentation Requirements for Skilled Care
- Review Covid-19 Blanket Waivers and Case Scenarios
PDPM Component: NTA & October 1 GG Changes – OCT 13, 2020
The NTA (Non-Therapy Ancillary) Component is one of the most common areas of opportunity found in PDPM Coding Audits. This session focuses on MDS Section H, I, K, M, and O items used to determine NTA Case-Mix Group. Attendees will understand all comorbidities for which a resident would qualify, and identify common case examples of coding opportunities and supporting documentation needs. Gain insight to proactively plan for IPAs and implement systems to accurately capture comorbidities and services reported through coding of NTA items, all while assuring quality documentation from physicians and nurses.
- Summary of the Patient-Driven Payment Model (PDPM) specific to NTA
- Identify MDS item location and ICD-10 codes used to determine the resident’s NTA score
- Strategies for identification of NTA comorbidities and develop systems to capture and support documentation
Beginning October 1, 2020, CMS gave individual states the choice to collect PDPM billing codes for OBRA assessments that are not combined with a Medicare PPS 5-Day assessment. Facilities within states that choose to do so will now need to develop processes for obtaining supporting data for section GG. While the HTS High Impact October webinar topic is focused on the PDPM NTA Component, we will also take time to briefly discuss these October 1st changes impacting your facility.
COVID-19: Navigating The New Regulatory Environment – AUG 11, 2020
- Understand how survey activities are being carried out due to the COVID-19 pandemic.
- Understand the enhanced enforcement actions for infection control deficiencies.
- Understand the changes in the Infection Control F-Tags resulting from the COVID-19 pandemic.
- Understand trends and examples of citations in the state related to Infection Control.
COVID-19: Preparing for & Responding to an Outbreak – MAY 19, 2020
COVID-19 is rapidly spreading across the country and impacting long-term care facilities. Facilities must take actions to limit the spread of COVID-19 among residents and staff. This session will focus on critical steps that are necessary to minimize the spread of COVID-19 and manage residents with COVID-19. Attendees will gain insight for best practices for preparing for and responding to an outbreak based on guidance from CDC and CMS.
MDS Coding Accuracy in the Presence of COVID-19 Pandemic – APR 14, 2020
Despite rapid changes in our daily operations during the Coronavirus (COVID-19) Public Health Emergency (PHE), the RAI User’s Manual remains the driver for the accuracy of MDS assessments. This session focuses on MDS items likely impacted by COVID-19. Gain insight for best practices for accurate coding to support the conditions and services delivered to the beneficiary, and apply best practices for supportive documentation based on RAI guidelines. Also included are real case examples of coding opportunities and supporting documentation needs for MDS coding accuracy.
Nursing Case-Mix Groups:
Each session will focus on MDS items impacting the PDPM nursing component by category. Gain insight for best practices for accurate coding to support the conditions and services delivered to the beneficiary, and apply best practices for supportive documentation based on RAI guidelines. Also included are real case examples of coding opportunities and supporting documentation needs for MDS coding accuracy.
- Special Care High – FEB 18, 2020: Recording
- Special Care Low – MAR 17, 2020: Recording
- Clinically Complex – JUN 16, 2020: Recording
- Reduced Physical Function / Behavioral Symptoms & Cognitive Performance – JUL 14, 2020: Recording
- Extensive Services – SEP 8, 2020: Recording
Section K: Don’t “choke” when it comes to coding swallowing and nutritional approaches – JAN 21, 2020
This session goes beyond the basic assessment for coding signs and symptoms of swallowing disorders and mechanically altered diets. Gain a better understanding of coding instructions and frequently asked questions, as well as case examples of coding opportunities and supporting documentation needs surrounding conditions and services impacting the SLP PDPM component.
Lessons Learned The Support You Need for Accurate ICD-10-CM Coding – DEC 17, 2019
Active diagnoses reported in Section I of the MDS Assessment not only have a direct relationship to driving the care plan, but also largely determine reimbursement for the entire Medicare stay with PT, OT, SLP, and the bulk of NTA items paid in part based on diagnoses coded on the MDS. Includes an overview of frequently asked ICD.10 coding questions as well as real case examples of coding opportunities and supporting documentation needs surrounding active patient diagnoses.
IDT Collaboration for Section GG Function Score – NOV 15, 2019
Certain Section GG items are required to be assessed for not only the IMA, but also the IPA under PDPM. Get answers to some of your frequently asked questions and review Section GG best practices for assessment, collaboration, and documentation. Focused on the Function Score established from Section GG, we also review the importance of this assessment information in relation to resident outcomes and functional quality measures.
PDPM Billing Processes – OCT 23, 2019
The importance of billing accuracy becomes more important than ever under PDPM (Patient-Driven Payment Model) effective October 1, 2019. Focused on tools and strategies to establish a robust Triple Check process that providers cannot afford to overlook.
Moving From RUG-IV to PDPM: The Transitional IPA – SEP 25, 2019
How to successfully navigate the transition from RUG-IV to PDPM. Focused on completion of required transitional IPA for current Medicare Part A beneficiaries including gathering quality assessment data and considerations for ARD scheduling.
MISC. HANDOUTS: https://drive.google.com/open?id=1w8yNxSEnvpd6unf3vzjH0KApikLiUS-u
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High Impact, Low Cost Ways to Meet Assisted Living Occupancy Goals Amidst Challenges and Change
This webinar addresses the key issues that impact today’s assisted living communities and identifies proven strategies to jump-start and sustain a high occupancy within limited budgets. Attendees will be provided census building tools that can be easily and immediately implemented within their organizations so results can be realized during the first quarter of 2021.
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Low Cost/High Impact Strategies to Optimize Post-Acute Care Occupancy During Change
The health care landscape has always experienced change, but 2020 has been the most tumultuous to date. Allow us to infuse you with results-proven strategies that will immediately ramp up and sustain your post-acute occupancy in preparation for the New Year.
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MDS Section I and J items, RAI coding requirements, ICD-10, and clinical category mapping guidance.
PDPM: SLP Component and Accurate Reporting of SLP Comorbidities
MDS Sections C, I, K, and O items used to determine the SLP component of PDPM.
Recording
PDPM: NTA Component and Comorbidities
MDS Sections H, I, K, M, and O items used to determine the NTA component of PDPM.
Recording
PDPM: Section GG and Functional Scoring
MDS Section GG items used for determining the Function Score for PT, OT, and Nursing components.
Recording
PDPM: Best Practices for 5-day & IPA Data Collection
5-Day Assessment, IPA, and Interrupted Stay Policy with a focus on best practices and systems for timely and accurate data collection.
Recording
Transitioning to PDPM & Ensuring Billing Accuracy
Tips for updating your triple check process, review of new HIPAA codes, the impact of the variable per diem adjustment factors, reporting therapy provision, and ongoing compliance auditing and monitoring.
Recording
Skilled Nursing Supportive Documentation for PDPM – JUL 31, 2019
MISC. HANDOUTS: https://drive.google.com/open?id=1w8yNxSEnvpd6unf3vzjH0KApikLiUS-u
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Light Up Your Admissions Process: Systems for Successful PDPM Transition – MAR 13, 2019
Systems and processes for success at the start of a skilled stay to obtain critical information needed.
Recording | Handout
Effective Systems & Section GG Coding – FEB 20, 2019
Effective systems for gathering data and documenting function to support coding decisions for Section GG.
Recording | Handouts: Slides & Coding Examples
PDPM Impact & Facility Action Plan – JAN 16, 2019
Understanding the new payment model, impact on IDT, and strategies for developing an action plan.
Recording | Handouts
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