The 2019 Revenue Integrity Symposium will feature a skilled nursing-specific track sponsored by the Association for Medicare Billing and Reimbursement (AMBR) for Long-Term Care. Join us as our industry-leading experts explore proven strategies for executing the new PDPM case-mix payment model, analyzing the role of diagnosis coding with the MDS in the post-acute care setting, and improving billing processes to prevent payment denials.
Learn more about the event here.
The new Patient Driven Payment Model (PDPM) goes into effect October 1st, 2019. While staff will continue to rely on computer software to convert MDS assessment data to calculate reimbursement rates, it will be vital to fully understand the rate calculation methodology to properly identify opportunities to maximize reimbursement and accurately project revenue. This two-day course will teach attendees how to effectively manage therapy utilization under PDPM; identify MDS changes and accurately complete item sets, with a focus on those that drive reimbursement; and demonstrate how to select the appropriate admitting ICD-10 codes and classification group for each resident.
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This three-day intensive boot camp covers the latest Medicare rules and regulations so that you can help your facility provide quality resident care, document successfully, bill appropriately for services and prevent payment denials.This bootcamp follows a Medicare patient from preadmission through discharge, addressing the function of each department, and uncovering the pitfalls along the way.
Learn more about this event here.
Learn more about this event here.
AMBR is a professional organization dedicated to fostering the professional and educational growth of long-term care professionals through networking, continuing education, and analysis of complex regulations. AMBR helps its members successfully navigate the post-acute billing and regulatory environment by providing billing-specific education; a resource library of continuously updated tools, white papers, and webinars; networking opportunities; and in-depth reimbursement and regulatory guidance.
Learn more about AMBR here.
Building solid processes and systems is critical for staying compliant under the numerous CMS regulatory changes including PDPM and the new survey process. Membership grants your entire team year-round access to recognized experts, customized virtual education, and specially curated resources. Stay on top of industry changes that will impact your clinical and financial operations and gain strategies for achieving and sustaining compliance in the future marketplace.
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With PDPM taking effect October 2019, SNFs must address how therapy services will change. This webinar will teach attendees how to properly prepare their facility and financially thrive under the new model. At the conclusion of this program, participants will be able to:
Learn more about this webinar here.
Learn more about this webinar here.
Stay compliant with the most up-to-date regulations, interpretive guidelines, and newly assigned Ftags, and adhere to CMS’ guidance and survey requirements with The Long-Term Care State Operations Manual. Recently updated with Appendix Q, Core Guidelines for Determining Immediate Jeopardy.
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Improve your CAA process and develop a more comprehensive plan of care while improving MDS 3.0 accuracy!
Navigate recent changes to the RAI and includes more than 100 customizable care plan templates, as well as the most up-to-date care area assessment (CAA) worksheets from CMS. With many updated regulations already in effect, this timely book covers Section GG, discharge planning, QAPI, person-centered care, and survey changes, as well as the changes resulting from the ICD-10 transition.
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Long-term care billers play a vital role in ensuring proper reimbursement for their facility—but that role is not easy. With the new Prospective Payment System (PPS) transforming the long-term care billing landscape, billers need to ensure they are not leaving money on the table. This how-to manual will help tackle the newest and most complex billing issues and highlights the largest change in payment methodology since 1998. On October 1, 2019, the PDPM methodology will completely replace the previous RUG-IV system for reimbursement and rate calculations. Offering tables, charts, and tools outlining both case-mix and non-case-mix components that will form SNFs’ PPS rates, this book is the perfect referral resource to make sure you and your staff are filing clean claims under PDPM.
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Complete your staff’s in-service requirements in less time. This new and updated version includes 50 training lessons that help facilities comply with CMS in-service training requirements for certified nursing assistants and other frontline staff.
The material in this book covers the most essential topics in long-term care, including Alzheimer’s disease, behavior management, and infection control. Its 10 new in-services keep learners up to date with new regulations and cover topics such as drug regimen review, safe social media practices, and activities of daily living.
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This book provides a one-stop shop for addressing the unique challenges of preventing UTIs in today's long-term healthcare environment. While the highest levels of patient care are always top of mind for healthcare facilities, issues related to UTIs can have additional implications for reimbursements and revenue.
Each chapter in this field guide combines the expertise of two seasoned healthcare professionals to supply evidence-based knowledge and firsthand experience, helping providers identify cause and effect to develop competency-based training and implement an effective UTI prevention program.
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This book gives readers a snapshot of the care delivered in a facility. This information affects facilities’ star ratings and gives customers a key source of information that reveals how well a facility is caring for its residents’ physical and clinical needs. However, getting a comprehensive picture of how QMs function can be time-consuming due to CMS’ extensive QM manual.
The guide provides a thorough drilldown of each QM. It supplies detailed explanations of each measure’s description, including numerator, denominator, and the facility’s and surveyor’s perspectives. This resource provides strategies for using your QM data to achieve performance improvement, insight into how CMS uses your QM data, and tips on using public reporting to track your quality improvement efforts.
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The release of this exclusive PDPM questionnaire will serve as an essential tool for you to estimate the revenue and expenses of a Medicare Part A resident admitted under this new case-mix classification model. October 1, 2019 will mark the first day that the new model will be implemented under the Skilled Nursing Facility Prospective Payment System. In this questionnaire, explore factors that might impact you such as resident risks, costly drug prescriptions, equipment purchases and more.
Download your copy here.