Managing Reimbursement and Quality Metrics Update
Date & Place:
February 5 - 6, 2025 Ohio Health Care Association 9200 Worthington Road, Westerville, Ohio 43082 Free parking is available
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 OHCA's office. Google hotels on Polaris Parkway for a complete listing.
Target Audience: Administrators, DON, Therapists, MDS Coordinators
Day 1: Quality Measures, 5 Star Rating, and Medicaid Reimbursement
* Overview of quality measure programs * Detailed review of quality measure calculations * Reviewing quality measure reports * Improving quality measures * 5 Star rating methodology * Ohio Medicaid Quality Incentive Program * Review current QIP Measures * Discuss future additions to the QIP measures * Semiannual QIP rate updates * Planning for the 2025 transition to PDPM
Day 2: Medicare Reimbursement, SNF QRP, and Value Based Purchasing
* Patient Driven Payment Model * Overview of PDPM * Rate components and drivers * Rate calculation * Interrupted Stay Policy * Required and optional assessments * SNF Quality Reporting Program Update * Review current and future SNF QRP measures * Calculating the Annual Payment Update * Value Based Purchasing Update
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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), Ohio CPAs and nurses.
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Registration Fees:
Members: $ 359 (early) prior to January 22 $ 399 (regular)
Non-Members: $ 659 (early) prior to January 22 $ 699 (regular)
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