Managing Reimbursement and Quality Metrics
Date & Place:
June 7 - 8, 2023
Quest Conference Center (new location)
9200 Worthington Road, Westerville, Ohio 43082
Free parking is available at the Conference Center.
Each participant is responsible for his/her own lodging and meal arrangements. We encourage you to make your hotel reservations as early as possible. There are a large number of hotels near the Conference Center. Google hotels on Polaris Parkway for a complete listing.
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
Feedback Reports
Thresholds
SNF QRP Update
Penalty for not reporting
Measures Update
MDS Changes
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
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Course Details
Agenda Day 1: *7 hours*
8:30 am Check In & Coffee
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 & Coffee
8:30 a.m. Program begins
12:15 p.m. Lunch
12:45 p.m. Program
3:00 p.m. Adjourn
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Instructor:
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.
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Continuing Education Credit:
This program has been approved for 13 hours of continuing education credit for nursing home administrators (Ohio BELTSS) and nurses.
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Registration Fees:
Members:
$ 329 (early) prior to May 24
$ 379 (regular) May 24 and after
Non-Members:
$ 609 (early) prior to May 24
$ 659 (regular) May 24 and after
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