Career Center   |   Member Search   |   Print Page   |   Contact Us   |   Sign In   |   Join
Community Search
Webinar - "Addressing PDPM Medical Review Risks in the SNF Compliance & Ethics Work Plan"
Register Tell a Friend About This EventTell a Friend
 

**Please note - webinars are billed at a facility rate, not individually. For one flat fee the facility may have an unlimited number of participants viewing the webinar on one computer/device (CEUs for each person will be provided through a webinar sign-in page). Please be aware that you will receive only 1 log-in credential per registration, if more than one log-in credential is needed a separate registration will need to be submitted and invoiced accordingly.

 Export to Your Calendar 9/1/2020
When: 1:30 PM
Where: Live Webinar
Missouri
United States
Contact: Karina Schnieders
573-893-2060


Online registration is available until: 9/1/2020
« Go to Upcoming Event List  

MHCA Members - $55/facility

Non Members - $75/facility

1.25 Administrative hour

 

Description:

This session of the PDPM Master Class Series will focus on PDPM Medical Review risks for providers and key strategies to address those risks in the Compliance and Ethics Work Plan. The webinar will emphasize risks related to supporting daily skilled services, medical necessity, MDS coding decisions impacting reimbursement (e.g. modified diets, NTA items, etc.), therapy service provision patterns including the volume and mode of treatment, and justifying functional patient outcomes. Strategies for driving ethical practice and facility compliance through a targeted work plan that addresses Medical Review risks will be emphasized.

 

Learning Objectives

1.       Review key Medical Review risk areas associated with the Patient Driven Payment Model (PDPM)

2.       Describe targeted Compliance and Ethics Work Plan strategies to address identified PDPM risks such as but not limited to effective risk assessment, policy development/implementation, auditing and monitoring activities and oversight

3.       Develop a working knowledge of the fundamental compliance work plan activities that may be used to drive PDPM quality and mitigate Medical Review risk.

 

Presenters:

Amie Martin - Amie’s experience as a clinical trainer, quality assurance director, Compliance Officer and multi-facility operations manager culminated in the founding of Proactive Medical Review. She is certified in healthcare compliance and as a Resident Assessment Coordinator, and has successfully partnered with post- acute care and rehabilitation service providers to improve clinical outcomes, compliance programs, medical record documentation, and to reduce error rates under medical review. She has partnered with legal counsel to defend providers under large volume ZPIC, UPIC and RAC reviews, and manages hundreds of appeals each year with a proven track record of recovering reimbursement on denied claims.

Shelly Maffia - Shelly is a Registered Nurse and Nursing Home Administrator with experience serving as Director of Nursing, Administrator, and as a multi-site Corporate Nurse Consultant. She holds AANAC’s QAPI Certified Professional (QCP) credential. She is a member of the Association for Professionals in Infection Control and Epidemiology (APIC) and earned a Certificate in Infection Prevention in Long-Term Care. She is a skilled coder and an AHIMA approved ICD-10 trainer. Shelly specializes in not only identifying SNF regulatory compliance risks, but in supporting SNF leadership in implementing the practical, real life solutions that drive performance improvement and quality outcomes.

Eleisha Wilkes - Eleisha is a Registered Nurse with over 15 years of long term care experience. She has significant experience as a Director of Nursing, Case Manager and Resident Assessment Coordinator with extensive responsibility and success in driving QA in the areas of person centered assessment and care planning through effective systems, staff development, and interdisciplinary team collaboration. She has presented educational programs related to PDPM transition success, MDS accuracy, effective care planning, Competency Based Staff Development, and Restorative Nursing Programs. Eleisha serves as a clinical consultant providing auditing, clinical training, and project development services.

Kristen Walden - Kristen is a Registered Nurse with over nineteen years of long term care experience. She has experience as a Regional Clinical Reimbursement and Nurse Consultant, Director of Nursing and Resident Assessment Coordinator.





Association Management Software Powered by YourMembership  ::  Legal