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Live In Person Seminars

Managing Reimbursement, RUGs and Quality Measures (November)

11/27/2018 - 11/28/2018

, Columbus , Ohio
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Managing Reimbursement, RUGs and Quality Measures

Date & Place:
November 27 - 28, 2018

Quest Conference Center
8405 Pulsar Place
Columbus, Ohio 43240
614/ 540-5540

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
 Patient Driven Payment Model
 Overview of PDPM
 Rate Components
 Component ?Grouper? Methodologies
 Rate Calculation
 Interrupted Stay Policy
 Required and Optional Assessments
 Component Tapering
 Operational Considerations
 SNF VBP Update
 FY 2019 Feedback Reports
 FY 2020 Thresholds
 SNF QRP Update
 Penalty for not reporting
 Measures Update
 MDS Changes October 1, 2018
 MDS Coding Issues Related to RUGS/PDPM/QMs
 Section G
 Section GG
 Section I
 Resident Interviews

Day 2: Quality Measures and Medicaid
 MDS Coding Issues Related to RUGS/PDPM/QMs, Continued
 Quality Measures
 Overview of Quality Measure Programs
 Quality Measure Calculations
 Reviewing QM Repots
 Improving Quality Measures
 5 Star Rating Methodology
 Medicaid Reimbursement Issues
 Understanding and Maximizing Medicaid Only Case Mix Scores
 Medicaid Quality Incentive Program

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 11/13)
$ 300 (11/13 and after)

$ 560 (before 11/13)
$ 700 (11/13 and after)

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