Profile
An
overview of the areas that significantly impact Medicare Reimbursement
and MDS integrity. Speaker to discuss areas of opportunity and associated
dollar impact. In addition, audience to receive strategies to prevent
inaccurate MDS’s and enhance overall revenue.
Recommended
Audience
Administrators, COO’s, CEO’s, Nursing
Management, Nursing Staff, Therapy Management, Occupational Therapists,
Physical Therapists, Speech Pathologists, Marketing Management, Social
Workers, Admissions Directors, Business Office Managers and Hospital
Discharge Planners.
Objectives
I. The learner will be able to identify strategies
for optimizing Part A reimbursement.
II. The learner will be able to identify skilled coverage needs.
III. The learner will be able to identify major elements of ARD Management,
ADL Scoring and RUG’s III Case Mix Indexing.
Goals
This program will enable healthcare providers to provide quality healthcare
through an understanding of the Medicare Reimbursement system in a
skilled nursing facility.
Content
I. Medicare Entitlement/Eligibility/Coverage Criteria
- Skilling Appropriately
- Inherent
Complexity
- Management
of Care Plan
- Observation
& Assessment
- Teaching
& Training
- Documentation
- LOS
- RUG’s
Intimacy
- Denials Management
- $ Impact
II. RUG’s
Case Mix
- Case Mix Indexing
- MDS Accuracy
- ADL Scoring
- Depression
- Pre-Admission
Data Collection
- Case Management
- $ Impact
III. Strategies
- Education
& Training
- Reconciliation
- Systems Analysis
- External Audit
- Case Management
- Beneficiary
Review Meeting
- Resources
- Denials Management
