Capturing Accurate Reimbursement for Long-Term Care Series

Webinar Schedule: 

All sessions are 1:30pm-2:30pm CST/12:30 - 1:30pm MST

• July 9 – Understanding Reimbursement Systems in Skilled Nursing Facilities
  • This session offers a foundational understanding of reimbursement systems in skilled nursing facilities, including Medicare Part A PDPM, Medicaid Case Mix, and Managed Care and alternate payment models. Participants will learn how reimbursement is calculated, and what operational strategies for accurate and timely reimbursement. The course also provides an in-depth look at the methodology and philosophy behind the Patient Driven Payment Model (PDPM), including variable per diem adjustments and case-mix adjusted components.
• July 16 – Documentation and Coding Accuracy
  • The session will focus on the critical relationship between thorough clinical documentation and accurate Minimum Data Set (MDS) coding to ensure appropriate reimbursement. Participants will gain an understanding of how documentation supports MDS accuracy, common pitfalls that lead to revenue loss or compliance risk, and strategies to align interdisciplinary team efforts. Real-world examples and practical tips will be shared to improve coding precision, support regulatory compliance, and optimize facility reimbursement.
• July 23 – Medicare Advantage and Managed Care – Challenges, Compliance & Reimbursement Strategies
  • This session explores the evolving landscape of Medicare Advantage and Managed Care in skilled nursing facilities. Participants will gain clarity on how these plans differ from Traditional Medicare, what challenges facilities commonly face, and how to develop proactive workflows to reduce denials and optimize reimbursement. Real-world case scenarios and strategies will be discussed to promote better outcomes and financial sustainability.
• July 30 – Optimizing Reimbursement in Skilled Nursing Facility
  • Missed PDPM reimbursement opportunities can reduce revenue. To optimize reimbursement and avoid missed opportunities requires an astute understanding of the nuances of the payment model. The course will concentrate on the elements that influence optimal reimbursement. Participants will gain an understanding of the importance of flexibility with Medicare assessment scheduling and the importance gathering timely accurate assessment data for optimal reimbursement.
• August 6 – Quality Reporting Program Impact on Reimbursement
  • The IMPACT ACT of 2014 requires the collection of standardized quality data across post-acute care settings, aiming to enhance the quality of care for Medicare beneficiaries through improved availability of consistent data. The course will provide an overview of the SNF QPR, and quality measures used in the program. Participants will gain an understanding of how SNFs collect and submit data to CMS, including the deadlines and submission requirements and monitor for compliance with these requirements
• August 13 – Leveraging Technology and Data Analytics to Drive Quality Outcomes
  • This session provides an overview of how long-term care facilities can harness technology and data analytics to improve clinical decision-making, monitor performance metrics, and enhance resident outcomes. The session will highlight practical tools, iQEIS Reports, and the importance of integrating data into daily quality improvement processes.