August 6, 2019
Operational Strategies for Success Under PDPM (with expert panel)
1:30 p.m. – 2:45 p.m. CT
This 1.25-hour webinar will review key operational strategies for successful implementation of the Patient Driven Payment Model effective October 1, 2019, through a panel presented by experts in SNF operations and clinical reimbursement. Emphasis of this session will be on processes involving a team approach.
At the conclusion of the webinar, the learner will: (1) Review the key operational strategies for interdisciplinary team integration into the RAI process for coding accuracy; (2) Identify operational best practices for software vendor partnerships; (3) Review key data collection, billing and monitoring processes important to PDPM reimbursement accuracy; and (4) Identify compliance and legal challenges for SNFs related to PDPM implementation.
Owners and corporate teams, directors of nursing, assistant directors of nursing, nurse managers, nursing home administrators, nursing staff and leaders, quality assurance directors, medical records, MDS staff, and therapy staff 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, Clinical Consultant – Amie Martin is an Occupational Therapist and Compliance Officer 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. She has successfully partnered with providers to develop and implement compliance and ethics programs, achieve five-star survey results, and ensure Medicare reimbursement accuracy as Founder and President of Proactive Medical Review Consulting.
Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA; VP of Curriculum AANAC – Amy Stewart is Vice President of Curriculum Development for the American Association of Nurse Assessment Coordination (AANAC) and a legal nurse consultant. She has more than 20 years of experience in the post-acute health care industry, with expertise in the areas of the Resident Assessment Instrument (RAI), clinical reimbursement, quality, staff education, and regulatory change. Amy is an AANAC and AADNS Master Teacher and has presented at numerous national speaking events.
Chris Murphy, CPA, BKD – Chris Murphy is a Partner with BKD, LLP. Chris is a CPA and consultant with more than 25 years of experience assisting health care providers in adapting to changes in complex Medicare and Medicaid payment systems and refining processes to achieve improved financial and operating results. Chris is passionate about helping health care providers assemble and interpret data from diverse sources to better understand their operations, their place in the competitive landscape, and their value as a partner.
Todd Selby, Attorney, Hall Render – Todd Selby focuses on regulatory and compliance issues affecting all health care providers with an emphasis on post-acute care providers. His practice is concentrated in the areas of licensure, certification, compliance and reimbursement at the local, state and federal levels. Todd also assists clients with Medicare and Medicaid enrollment and participation requirements and serves as a liaison between clients and the regulatory agencies. Todd is recognized nationally by post-acute care clients for his skills and proficiency.
Genice Hornberger, RN, Senior Product Advisor, PointClickCare – Genice Hornberger has worked nearly 25 years in long-term post-acute care. She has held multiple roles, including MDS coordinator, director of nursing, clinical reimbursement manager, and director of clinical informatics, which provides her with valuable insights on the challenges faced by facility operators and their staff. During her time in skilled nursing, she helped transition the organization through multiple changes, including PPS, MDS 3.0 and RUGs IV. Genice moved into the technical space six years ago with PointClickCare where she is currently the Senior Product Advisor. In her current role, she is tasked with ensuring regulatory compliance within the EHR. She is passionate about having technology streamline workflows to minimize the nursing burden and improve clinical outcomes.
Michael Katri, Senior Product Strategist, Optima Post-Acute Therapy Product Division – Michael Katri is one of the founders of Optima Healthcare Solutions and is its Senior Product Strategist responsible for creating and evangelizing Optima’s post-acute therapy product vision. Michael is currently responsible for spearheading Optima’s roadmap for innovative PDPM functionality and connecting the delivery of therapy through the post-acute continuum.
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.