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Course Overview
This two-day intensive is designed to support the MDS Coordinator and other key members of facility leadership such as Administrators, Directors of Nursing, Rehab Directors and Nutrition Services professionals who need to understand how the MDS effects reimbursement and quality measures. MDS staff are encouraged to attend all three days, while other team members can register for day 2 & 3 or the entire intensive depending on their needs and interests.
This 2-day workshop will be taught by Robin Hillier, CPA, STNA, LNHA RAC-MT an AANAC Master Teacher. Robin is a certified public accountant, state tested nurse aide and licensed nursing home administrator who is also resident assessment coordinator certified and a master trainer through the American Association of Nurse Assessment Coordination (AANAC).
She is President of RLH Consulting, which provides reimbursement, accounting and operational consulting to long term care providers.
Robin is a member of AANAC’s Expert Advisory Panel and Editorial Board. Robin served as Secretary/Treasurer of the American Health Care Association Board of Governors and as a member of the OHCA Board of Directors. She is Past President of both OHCA and EFOHCA. RLH Consulting is an OHCA Platinum Champion Partner.
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Agenda
June 22nd: 9:00am – 4:00pm MT
Ultimate Reimbursement Intensive:
PATIENT DRIVEN PAYMENT MODEL and RUG IIIIntended audience: Administrators, Directors of Nursing, MDS Coordinators and other IDT members
This session will provide the information regarding the Patient Driven Payment Model used for Medicare and the RUG III classification system used in the Idaho Medicaid reimbursement methodology. This session will also provide operational strategies to help your facility be successful.
Objectives:
Describe the rate components under PDPM and how each are calculated
Describe the variable per diem rate adjustment methodologies
Describe the interrupted stay policy
Describe the optional Interim Payment Assessment
Describe the compliance implications of PDPM
Describe the RUG III resident classification system and its role in Medicaid reimbursement
Describe operational strategies for capturing acuity for reimbursement programsJune 23rd: 9:00 am – 3:00 pm
Ultimate QM Intensive:
QUALITY MEASURES, SNF QRP, VBP AND THE 5-STAR RATINGIntended audience: Administrators, Directors of Nursing, MDS Coordinators and other IDT members
This session will provide everything you need to know about quality measure calculations, the SNF Quality Reporting Program (SNF QRP) and how to monitor your performance against the 80% threshold to avoid a Medicare rate reduction, updates to the Medicare Value Based Purchasing Program (VBP), and the CMS 5-Star rating program. It will also provide tips on quality improvement.
Objectives:
Describe the basics of quality measure calculations: short stay vs. long stay, risk adjustments, percentile ranking
Describe SNF QRP and the Annual Payment Update
Describe Medicare Value Based Purchasing
Describe the domains and calculations used in the CMS 5-Star rating methodology -
Hotels
Apparently the Far West Soccer tournament is in town. Hotel rooms in Boise/Meridian are booked or $250 – $300/night. You may want to explore hotel rooms in Nampa or Caldwell.
Country Inn & Suites by Radisson
3355 East Pine Avenue
Meridian, ID 83642Standard Deluxe Room (double Queen or One King) $100 single – double occupancy
Please call 208-639-3300 to make reservations and mention Idaho Health Care Association to receive this special rate.
Deluxe amenities include:
- complimentary hot buffet style breakfast
- complimentary high speed wireless internet throughout the hotel
- 24-hour fitness center & business center
- indoor pools & whirlpool 6 am – 12 am
- guest washer & dryer facilities
- complimentary coffee, hot tea, and hot chocolate available 24 hours
- Radisson rewards program
- great local restaurants within walking distance & excellent shopping nearby
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Fees
Listed rates include lunch the day of the training.
Members:
- $299/person Early-bird
- $349/person after June 10th
Non-Members:
- $349/person Early-bird
- $399/person after June 10th
Cancellations & No-Shows
Cancellations are subject to a $50.00 fee if made more than seven (7) business days prior to the event. There will be no refund or credit granted for “no-shows” and cancelled registration within seven (7) business days of the event. Training dates are subject to change. Additional dates may be added due to demand. Please note — IHCA reserves the right to re-schedule any training that does not meet minimum registration requirements.