2019 IHCA Patient Driven Payment Model (PDPM) Workshop

Agenda

Patient Driven Payment Module Workshop Agenda HERE – Revised 1.21.19

PRESENTERS:

David Gifford, MD, MPH, Senior Vice President of Quality and Regulatory Affairs

David Gifford, MD, MPH, is the Senior Vice President of Quality and Regulatory Affairs at the American Health Care Association, the largest association in the country representing long term and post-acute care facilities. He helped create the department which assists providers in their quality improvement efforts and works with Administration officials on regulations and policies impacting the profession. Dr. Gifford also serves on the Board of the Advancing Excellence in America’s Nursing Homes campaign and the Baldrige Foundation Board. He is a former Director of the Rhode Island State Department of Health, where he received the National Governor’s award for Distinguished Service Award for State Officials and was a semi-finalist for the Harvard Kennedy School of Government Innovations in Government award for work on the nursing home survey process. Prior to that he served as Chief Medical Officer for Quality Partners of Rhode Island where he directed CMS’ national nursing home-based quality improvement effort. He received his medical degree from Case Western Reserve University and conducted his geriatric fellowship at UCLA where he also earned his Master’s in Public Health in Epidemiology.

Bill Ulrich, CHC—509.939.2095

Bill Ulrich has more than 30 years of experience in the long term care profession as a financial and Medicare consultant.  Prior to founding Consolidated Billing Services, Inc [CBSI] in 1998, Bill worked for two large multinational long term care providers.  Over 30 years, Bill developed the technical acumen and expertise in operational reimbursement that made him a sought-after health care consultant and speaker. Studying the intricacies of state reimbursement, Medicare and Medicaid cost reporting in the Northwest, he became the acknowledged corporate Medicaid expert in the region.  Prior to founding CBSI in 1998, Bill was vice president of the consulting subsidiary of a national nursing home chain, where he directed the efforts of 43 experts who provided daily, comprehensive consulting services to 300 long term care facilities nationwide.  Bill learned early in his career that for a provider to be successful in government programs that provider must fully understand the principles of; coverage, documentation and revenue cycle management.  Bill formed CBSI to provide that unique product to providers. Bill is a nationally recognized expert and frequent speaker on Medicare, Medicaid and billing issues. Bill currently serves on the Reimbursement Committee for the American Health Care Association [AHCA], Chairs the subcommittee on Billing and Operations and represents AHCA on the National Uniform Billing Committee [NUBC]. Bill is the past Chair of the Reimbursement Committee for the Washington Health Care Association where he served for the last four years. Bill has served on the legal committee and reimbursement committee for numerous state health care associations. In addition to reimbursement and finance, Bill earned his certification in health care compliance [CHC] through the Health Care Compliance Association in 2012.

No handouts are available.

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