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Live In Person Seminars

Managing Reimbursement, RUGs and Quality Measures (February)

2/13/2018 - 2/14/2018

This program is full. Please register for the June dates.
, Columbus , Ohio
Click here to print brochure!

Managing Reimbursement, RUGs and Quality Measures

Date & Place:

February 13 - 14, 2018

Ohio Health Care Association
55 Green Meadows Drive South
Lewis Center, Ohio 43035

Nearby Hotels: Mention OHCA for a special rate
Nationwide Hotel & Conference Center, 100 S. Green Meadows Drive, Lewis Center, Ohio 614-880-4300, code OHHCA
Cambria Suites, 9100 Lyra Drive, Columbus, Ohio 614-841-9100
Hampton Inn & Suites, 8411 Pulsar Place, Columbus, Ohio 614-885-8400
Hyatt Place, 7490 Vantage Drive, Columbus, Ohio 614-846-4355

Target Audience: Administrators, DON, Therapists, MDS Coordinators

Day 1

Medicare Hot Topics
o End of PPS Discharge Assessment
o Section GG
o IMPACT Act Measures
o Measures Under Consideration
- Value Based Purchasing
o Timelines for Implementation
o Rehospitalization Measure
o Impact on Medicare Rates

MDS Coding Issues Related to RUGs and Quality Measures
- Activities of Daily Living
- ?Active? Diagnosis
- Resident Interviews
- Communication and Documentation

PPS Scheduling Issues
- Scheduled Assessments
- Other Medicare Required Assessments
- PPS End of Stay Assessment
- Medicare Short Stay Assessments
- PPS vs. Managed Care

Day 2

Overview of RUG IV
- RUG IV Classification System
- Medicare vs. Ohio Medicaid

Review of PPS rates

Medicaid Reimbursement Issues
- Direct Care Price Calculation
- Medicaid Quality Incentive Program

Overview of CMS 5 Star Rating Program
- Survey Domain
- Staffing Domain
- Quality Measures Domain
- Overall Rating

Overview of Quality Measures
- Public Measures vs. CASPER
- Short Stay vs. Long Stay
- How Measures are Calculated
- Using Quality Measures for Quality Improvement

Course Details

Agenda Day 1: *7 hours*

8:30 am Check In & Continental Breakfast
9:00 a.m. Program begins
12:15 p.m. Lunch
12:45 p.m. Program
4:30 p.m. Adjourn

Agenda Day 2: *6 hours*

8:00 a.m. Check In & Continental Breakfast
8:30 a.m. Program begins
12:15 p.m. Lunch
12:45 p.m. Program
3:00 p.m. Adjourn


Robin L. Hillier, CPA, STNA, LNHA, RAC-CT

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 Director of Reimbursement and Quality Metrics for Welcome Nursing Home in Oberlin, Ohio; Co-Owner of Quality Life Services, a home health agency; and President of RLH Consulting, which provides operational and reimbursement consulting to providers of skilled nursing, assisted living and intellectual or developmental disabilities.

Ms. Hillier was elected to the Board of Governors of the American Health Care Association (AHCA) in 2010, and served for seven years. She is Past Chair of both the Ohio Health Care Association (OHCA) and its' Educational Foundation (EFOHCA). She also serves on the AANAC Expert Advisory Panel. Ms. Hillier was a 2015 recipient of the Joe Warner Patient Advocacy award and the 2004 OHCA President's award. She is a graduate of both the AHCA Future Leader and Political Ambassador programs, and represented AHCA at the 2014 White House Summit on Working Families.

Continuing Education Credit:

This program has been approved for 13 hours of continuing education credit for nursing home administrators (Ohio BELTSS) and nurses.

13 hours have been submitted for Physical Therapists and Occupational Therapists. Please contact for final approval status.

Registration Fees:

$ 240 (before 1/30)
$ 300 (1/30 and after)

$ 560 (before 1/30)
$ 700 (1/30and after)