Profile
This
program will enable healthcare providers to provide quality healthcare
through an understanding of the Medicare Reimbursement system in a
skilled nursing facility. Kris Mastrangelo will provide an overview
of the areas that significantly impact Medicare Reimbursement and
MDS Integrity as well as discuss areas of opportunity including highlighting
the new RUG categories and the associated dollar impact. In addition,
the participants will receive strategies to prevent inaccurate MDS’s
and enhance the facility’s ‘overall revenue.
Recommended
Audience
Administrators, 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
- Hospitalization
- LOS Impact
- Presumptive
Coverage
- Slam Dunk
Nursing
- Management
of Care Plan
- Observation
and Assessment
II. Therapy: “Business
Within Business”
- Productivity
- Groups
- Aide Utilization
- Restorative
Nursing
- Budget/Plan/Tracking
Services
- Documentation
III. RUG’s
Case Mix
- Case Mix Indexing
- ADL Scoring
- Definitions
- CNA Flow Sheets
- Interviewing
- CNA/Nurse
Training
- Pre-Admission
Data
- Revised RUG
Levels and Case Management Strategies
- Systems
