November 5, 2019
Skilled Nursing Supportive Documentation for PDPM
1:30 p.m. – 2:45 p.m. CT
This 1.25 hour webinar will focus on skilled nursing documentation requirements and best practices as it relates to the new Medicare payment model, PDPM. The webinar will include review of skilled level of care criteria with an emphasis on skilled nursing services and documentation to support the skilled stay.
At the conclusion of the webinar, the learner will: (1) Describe Medicare skilled coverage guidelines, (2) Understand what nursing services are considered as skilled level of care, and (3) Describe documentation requirements and best practices to support skilled nursing services under PDPM.
MDS nurses, directors of nursing, assistant directors of nursing, nurse managers, nursing home administrators, and nursing staff and leaders in nursing facilities.
Shelly Maffia, MSN, MBA, RN, LNHA, QCP, Clinical Consultant – Shelly Maffia is a registered nurse and nursing home administrator with more than 15 years of experience serving in long-term care leadership and consulting positions. She earned the QAPI Certified Professional (QCP) credential from the American Association of Nurse Assessment Coordination (AANAC), which was established to promote the highest standards for QAPI program implementation in the long-term care profession.
Amie Martin, OTR/L, CHC, RAC-CT, Principal Consultant and Director of Operations – Amie Martin is an occupational therapist with more than twenty years of experience serving in long-term care leadership positions and as a clinical program specialist. Amie is certified in health care compliance through the Health Care Compliance Association. She 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. Working with legal counsel to prepare defensive arguments and provide expert witness testimony, she has defended rehabilitation providers under large volume ZPIC and RAC government audits, recovering reimbursement on denied claims. She has presented extensively to SNF health care associations and national groups on documentation and medical review related topics.
Eleisha Wilkes, RN, RAC-CT – Eleisha Wilkes is a registered nurse with more than fifteen years of experience in long-term care. She has served 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 now serves as an RN Clinical Consultant with Proactive Medical Review & Consulting, LLC.
Proactive Medical Review & Consulting assists post-acute care providers in ensuring compliance with regulatory standards and promoting measurable care excellence. Proactive specializes in SNF risk assessment, Quality Assurance Performance Improvement projects, medical record review services, and staff development to promote care quality and effective clinical documentation.