Reimbursement Refresher

4-Session Series

This 4-part weekly webinar series focuses on critical updates for NSF/LTC leaders to drive best practices
for payment accuracy, medical review success, and contract negotiations. A team of expert presenters
offers reimbursement insights in the areas of Medicare, Medicaid Case Mix, Managed Care, and Medical
Review Preparedness. Recordings of live sessions are included with the webinar purchase.

What to Expect

Updates and insights into current payment trends, key risks for lost revenue, trends in medical review
and operational strategies to advance SNF/LTC reimbursement accuracy.

Target Audience:

Nursing Home Administrators, Directors of Nursing, MDS/RAI Staff, QA Director, Compliance
Staff, Department Heads, Finance, Business Office, Corporate Leaders, Board Members

Contact Hours:

1.25 NAB approved contact hour each session; check your state association registration page for details on additional CE accreditations

Date/Time:

*All webinars begin at 2:00PM Eastern Time

July 8, 2021 – Thriving Under PDPM: Essentials of a Successful PDPM Program

An expert panel shares insight on trends identified in over 2000 PDPM coding and documentation audits along with CMS findings noted in the proposed rule with a focus on industry billing trends, lessons learned, and best practice applications for SNF Medicare Program operations. Common missed opportunities and specific strategies for providers to drive program improvement in these areas will be discussed with case studies. Insights into internal auditing & process improvements to reduce missed opportunities and improve medical review success will be emphasized. PURCHASE RECORDING

July 15, 2021 – Medical Review Ready! Preparing for Success Under Payer Audits

Is your facility prepared for the expected uptick in payer audits? This session provides an overview of trends in medical review, and common Medicare and Managed Care denial trends with case studies. Proactive measures to reduce risk and improve outcomes under payer audits will be covered. The fundamentals of a strong documentation program to support billed services will be emphasized.

July 22, 2021 – Medicaid CMI Accuracy: Overcoming Common Pitfalls

This session covers some of the most common issues in Medicaid Case Mix accuracy including coding, supportive documentation gaps and missed opportunities. Taught by reimbursement experts, strategies for identifying facility errors and improving systems for capturing appropriate CMI will be discussed.

August 5, 2021 – Managed Care Contracting & the Providers Role in Value-Based Payment

This session reviews MCO updates and strategies for effective managed care contract management including changes from PDPM to levels. Systems for successful operations under Managed Care from admission to discharge, clean billing and the providers role in VBP will be addressed. Presented in part by special guest, Susie Mix, owner and CEO of Mix Solutions.

Participating Associations – Click to Register

To register for an upcoming webinar in your area, visit your organization’s website for details. Click on your participating organization’s link below.

Our Training Team

The Proactive clinical education team includes experienced therapist, nurse, MDS and health facility administrator experts with backgrounds in multi-facility operations, contract therapy services, survey management, EMR systems, healthcare compliance, corporate training, clinical program development, QAPI, and litigation support.

Amie Martin OTR/L, CHC, RAC-CT, MJ
President

Stacy Baker, OTR/L, RAC-CT, CHC
Director of Audit Services

Shelly Maffia, MSN, MBA, RN, LNHA, QCP, CHC, CLNC
Director of Regulatory Services

Eleisha Wilkes, RN, RAC-CTA

Clinical Consultant

Jessica Cairns, RN, RAC-CT, CMAC
Clinical Consultant

Kristen Walden, MSN, RN, RAC-CT
Clinical Consultant

Technical Support

Logging In to webinars:
Registrants will receive a confirmation email from GoTo™ webinar with individual log in information. To reduce the number of log in emails caught up in spam , whitelist customercare@gotowebinar.com with your email service.

Trouble downloading GoTo™ webinar? 
GoTo™ support is available 24 hours Toll-Free at (877) 582-7011 or at http://link.gotowebinar.com/contact-us.

Log in trouble the day of the event?
Contact Proactive info@proactivemedicalreview.com or (812) 471-7777

Have a question? Don’t hesitate to contact us!

Proactive is able to customize training to meet your staff development goals. Contact us for budget friendly on-site or web-based training options

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