Calendar

YOU MAY VIEW THE FULL WEBINAR BROCHURE HERE.

COURSE OVERVIEW

This presentation will focus on the nursing and NTA components of PDPM.  The nursing component is the highest paying PDPM component, AND NTA, the second highest paying component!

The functional levels obtained through the Section GG assessments impact the nursing component payment along with the PHQ9 resident interview for mood.

The Non-Therapy Ancillary (NTA) payment component is new with PDPM.  The opportunity to report diagnoses and services that increase payment for medications, lab studies, and medical supplies is very welcome. This component relies heavily on ICD-10-CM coding from physician documented diagnoses.  Ensuring the accurate ICD-10-CM codes are entered on the MDS in Section I is critical to this payment component.

By the end of the webinar, attendees will be able to state the MDS item that can impact the nursing component payment even when only provided prior to admission to the SNF, but within the 7-day look-back from the 5-day PPS ARD, list the 3 MDS items that qualify a resident for the Extensive Nursing Service group, explain the impact of the variable per diem rate in the NTA component and how it impacts PDPM payment, and report the diagnosis code that provides an 18% add-on to the nursing component when coded on the UB-04 even when not coded on the MDS.

SPEAKER

Carol Maher is a Board Certified Gerontological Registered Nurse with over 30 years’ long term care experience and has worked in long term care in many roles. She worked as the MDS Coordinator in a 300 bed SNF in Pennsylvania for eight years before moving to California to become the MDS Coordinator/Director for a 1200 bed SNF in San Francisco. She has also worked as the MDS Coordinator in a SNF that typically had 60-75 residents on Medicare in addition to 160 long-term care residents. More recently she was the Senior VP of Utilization Services and Director of Reimbursement for large multi-facility organizations. Presently, Ms. Maher is the Director of Education for Hansen Hunter & Co., providing MDS, Medicare, and regulatory and clinical educational classes and webinars for HHC clients nationwide. Carol 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 several Technical Expert Panels related to MDS, Quality Measures and care planning. A sought-after speaker, Carol has given presentations at AANAC, AHCA and LeadingAge national conferences as well as many state organization presentations. She is presently serving as the chair of the AANAC Expert Advisory Panel and as an AANAC Master Teacher of the RAC-CT and RAC-CTA certification courses. Ms. Maher provides MDS and Medicare classes across the country, presenting monthly educational webinars and completing compliance audits. She is the author of Long-Term Care MDS Coordinator’s Field Guide (HCPRO 2016).

Thank you to our sponsor!