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Webinar Open to All

MDS Ripple Effect on Reimbursement

When: February 7, 2024 @ 2:30pm EST - 3:30pm EST

REGISTER TODAY

Members: $55 | Non-Members: $110

About This Event


PDPM was implemented to improve reimbursement for Medicare Part A beneficiaries in a SNF based on patient characteristics instead of the volume of services provided. A strong understanding of this payment model is critical to accurate Medicare reimbursement. This course will detail documentation requirements to support key components of the PDPM including accurate assignment of ICD.10 diagnosis codes, functional status as coded in section GG and the other key sections of the MDS that impact payment. An overview of common coding errors and their impact on reimbursement will be discussed.

Learning Objectives
1. Participants will identify the components of PDPM and how they impact reimbursement.
2. Participants will identify 2 common areas of missed reimbursement opportunity.
3. Participants will be able to Identify interdisciplinary assessment strategies to maximize timely data gathering and communication.

(webinars begin at 2:30pm EST and last approximately 1 hr)

 

This webinar is part of a 5-week series. Dates for all webinars in the series are as follows:

February 7 – MDS Ripple Effect on Reimbursement

This course will detail documentation requirements to support key components of the PDPM including accurate assignment of ICD.10 diagnosis codes, functional status as coded in section GG and the other key sections of the MDS that impact payment. An overview of common coding errors and their impact on reimbursement will be discussed.

February 14 – MDS Influence on the Quality Measures

The QM calculations have undergone significant revisions because of the updates to the MDS effective 10/1/2023. This session will review QM revisions, applicable definitions, and changes to how each MDS-based measure is calculated with a focus on ways in which facilities can improve quality outcomes with a QAPI driven approach to the data.

February 21 – MDS Influence on Spades and SNF QRP

The MDS updates effective October 1, 2023 marked the most significant change to the MDS 3.0 since its inception in 2010. Many of the data element changes on the MDS assessment relate to the Standardized Patient Assessment Data Elements (SPADES). The accurate completion of these new SPADES items is critical to the SNF Quality Reporting Program (QRP). In addition, several changes to SNF QRP were finalized in the FY2024 SNF PPS Final Ruel. During this session we will also provide an overview of these changes and detail the impact of key MDS data elements on the SNF QRP program.

February 28 – MDS Five Star Factors

With the updates to MDS 3.0 on 10/1/2023, including the removal of section G of the MDS, both the staff and quality measure domains have significant revisions that could impact the facility’s overall star rating. Many of the Quality Measures that are utilized in the Five Star Rating system were calculated based either directly or indirectly through risk adjustments on data from Section G. The Quality Measure domain will be undergoing a significant overhaul with this change over. This course will provide an overview of the impact of these changes.

March 6 – MDS Systems & Mechanisms for Care Plan Effectiveness

Person-centered, individualized care planning is paramount to ensure optimal patient outcomes. This course delves into the intricacies of Minimum Data Set (MDS) systems and explores the mechanisms that drive care plan effectiveness. Participants will gain an understanding of Care Area Triggers, Care Area Assessments, and how to leverage them to develop and implement robust care plans tailored to individual patient needs.

 

Target Audience: MDS Coordinators, Nursing Leadership, Interdisciplinary Team

 

Download the series flyer

 

**Webinar registration closes at 1pm EST**

Our Speakers

Christine Twombly, RN- BC, RAC-MT, HRM, CHC
Appeals & Denials Management Coordinator , Proactive LTC Consulting

Eleisha Wilkes, RN, GERO-BC, RAC-CT, DNS-CT Clinical Consultant
Clinical Consultant, Proactive LTC Consulting

Questions about this event?

Please email Katie, IHCA/INCAL’s director of education, using the form below.

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