Receive optimal reimbursement for services

HCPro, a division of BLR
 

Successful PPS Scheduling: Receive optimal reimbursement
while reducing default rates and provider liable days

Presented by:
Carol Maher, RN-BC, RAC-CT

Presented on:
Friday, January 13, 2017 from 1:00-2:30 p.m. Eastern 


Remove the confusion surrounding PPS scheduled and unscheduled assessments accurately to receive optimal reimbursement for services. Understand how to manage the process, including meetings to conduct, tools to implement, and ways to keep everything on track. In this 90-minute webinar, expert Carol Maher, RN-BC, RAC-CT, will help attendees understand when and why a facility needs to perform PPS assessments and how to choose the assessment reference date (ARD) for each scheduled and unscheduled assessment to prevent payment loss.

At the conclusion of this program, participants will be able to: 

  • Learn how to implement tools that can assist in accurate PPS scheduling
  • Describe how default rate is charged for late PPS scheduling (when payment is going to be affected by late/missed PPS assessments)
  • Define the unscheduled assessments (OMRAs)
  • Understand the payment rules for each of the unscheduled assessments

Tools:

  • Spreadsheet, 100-day tool, to help with scheduling

Meet the Speaker

Carol MaherRN-BC, RAC-CT, is a Board Certified Gerontological Registered Nurse and Certified Professional Coder with over 30 years’ long-term care experience who has worked in long term care in many roles.  Beginning as a nursing assistant, she later became a charge nurse, Nurse Manager and then RNAC.  Most recently she was the Senior VP of Utilization Services and Director of Reimbursement for large multi-facility organizations.  She has worked as one of the Gold Standard nurses for MDS 3.0, serving on the RAP workgroup to prepare the way for the CAAs for MDS 3.0, and participating on a number of Technical Expert Panels related to MDS, Quality Measures and care planning.  A sought after speaker, she has given presentations at AANAC, AHCA and Leading Age national conferences as well as many state organization presentations.  She is also a frequent author of articles related to the RAI process and PPS and is the author of Long-Term Care MDS Coordinator’s Field Guide (HCPro).  Carol served on the AANAC Board of Directors for 9 years.  She is presently a member of the AANAC Expert Advisory Panel and is an AANAC Master Teacher.  Ms. Maher is the Director of Education for Hansen Hunter & Co. where she provides MDS and Medicare education classes and consultation, ICD-10 classes, monthly webinars and completes compliance audits.


                   
 

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