AANAC Recorded Webinars

Recorded webinars are a great way to access educational content on your schedule. Show them as an in-service training for your whole team, or earn your CEs by watching the video file when it's most convenient for you. Once purchased, you can download and watch the file as many times as you like.

See our schedule of upcoming live webinars.

MDS 3.0 RAI Manual v1.17.1 and Live Q&A

Members: $19  |  Non-members: $59  
Continuing Education: This webinar is eligible for 1.0 CE hour. 
Recording Date: Oct. 17, 2019 
Duration: 60 minutes  
Speakers: Jane Belt, MS, RN, RAC-MT, RAC-MTA, QCP and Jessie McGill, RN, RAC-MTA, RAC-MT Jane Belt and Jessie McGill have no conflicts of interest to disclose. 

In May, CMS posted a draft version of the RAI User’s Manual and notified providers to check back for updates before Oct. 1, 2019. CMS released the final version 1.17.1 on Sept. 18, 2019, which contained a few additional changes when compared to the earlier draft version. Because of the monumental change to SNF PPS with the implementation of PDPM, chapters 2 and 6 of the manual received major revisions. Luckily, CMS has offered several trainings and Skilled Nursing Facility/Long-Term Care Open Door Forums, which have allowed providers to keep up-to-date with all of these changes.

During this 60-minute webinar, AANAC nurse experts will review the major differences between the early and final versions of the RAI User’s Manual, discuss some lessons learned during the first two weeks of PDPM, and provide a 30-minute live question and answer period to address your pressing issues. Ensure you did not miss any of the RAI changes during the hustle and bustle of the transition.

Objectives: 

  • Review the major changes to the RAI User’s Manual v1.17 compared to the final v1.17.1
  • Identify the SNF PPS assessments and when to use them
  • Discuss lessons learned during the first two weeks of PDPM
  • Get your most pressing issues resolved in a question and answer session with MDS experts

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Strategies for the PDPM Transition and IPAs

Members: $19  |  Non-members: $59 
Continuing Education: 
This webinar is eligible for 1.5 CE hours.
Recording Date: Aug. 29, 2019
Duration: 90 minutes
Speaker: Jessie McGill, RN, RAC-MTA, RAC-MT Jessie McGill has no conflicts of interest to disclose. 

The transition to PDPM deadline is set – it is a hard stop date. Sept. 30, 2019, will mark the end of RUG-IV and Oct/1, 2019, the beginning of Patient-Driven Payment Model (PDPM). Once PDPM takes effect, the transition plan seems simple. Every Medicare resident who has a Medicare start date prior to Oct. 1 will require a transitional Interim Payment Assessment (IPA) in order for facilities to receive payment for those residents. While this “changeover” to PDPM may sound cut and dry, there will likely be unexpected situations, which occur during the resident’s Medicare Part A stay when it will not be clear when or whether the “changeover” IPA is needed. During this 90-minute webinar, you will dive into an array of scenarios, from simple transitions to complex admissions, discharges, and even interrupted stays, which could complicate this relatively simple transition plan. Make sure your team is ready for whatever comes their way to ensure success during this transition period.

Objectives: 

  • Identify the assessment requirements and billing implications with the transition from RUG-IV to PDPM
  • Review how to handle unexpected admissions and discharges that could impact the required transition assessments
  • Distinguish the differences between the “changeover” IPA and other IPA assessments
  • Develop a strategy for successful transition to PDPM

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Putting the Interrupted Stay Policy into Play

Members: $19  |  Non-members: $59 
Continuing Education: 
This webinar is eligible for 1.5 CE hours
Recording Date: July 31, 2019
Duration: 90 minutes
Speaker: Jessie McGill, RN, RAC-MTA, RAC-MT Jessie McGill has no conflicts of interest to disclose. 

The Patient-Driven Payment Model (PDPM) is coming this October and with it the Interrupted Stay Policy, which determines when Medicare will treat multiple SNF stays as one single “interrupted” stay, rather than separate stays. During this 90-minute webinar, we will divulge the details of this new policy and explore several case studies—learning how an interrupted stay will be applied, the billing implications, the impact on the variable per diem, and the effect on the PPS schedule. Nurse assessment coordinators (NACs) will develop the skills needed to track interrupted stays, adjust the schedules of both the OBRA and PPS assessments, and ensure appropriate billing during the interruption window. Get ahead of the curve – join us for this informative, clarifying program! 

Objectives: 

  • Learn the criteria of the Interrupted Stay Policy and the definition of the interruption window. 

  • Review the impact an interrupted stay will have on the PPS and OBRA assessment schedules and the variable per diem rates. 

  • Understand the application of an interrupted stay through a series of case studies. 

  • Gain strategies for success and appropriate billing when an interrupted stay occurs.

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Early Release! Need-to-Know Overview of the MDS 3.0 RAI User's Manual v 1.17 Changes

Members: $19  |  Non-members: $59 
Continuing Education: This webinar is eligible for 1.5 CE hours.
Recording Date: June 4, 2019
Duration: 90 minutes
Speaker: Jane Belt, MS, RN, RAC-MT, RAC-MTA, QCP

True to their word, CMS posted an early copy of the RAI User’s Manual effective Oct. 1, 2019. In light of everything that is happening in long-term care, such as the new Patient-Driven Payment Model (PDPM), Phase 3 Requirements of Participation, and changes to the Five-Star Quality Rating System, we welcome the manual draft so that we can all get a head start on preparing for the changes. Granted, CMS made it clear that a “final posting” may contain additional updates; however, the draft provides the nurse assessment coordinator (NAC) and the interdisciplinary team (IDT) members a few months to absorb all of the great information, guidelines, examples, and clarifications. Join us for this 90-minute webinar and learn more about the new PPS Medicare assessments; what to do when completing the Brief Interview for Mental Status (BIMS) for PDPM; tips for coding section GG (a huge part of PDPM); the use of the GG Decision Tree; and the new items in section I. Thanks to CMS's early release, we can hit the ground running on Oct. 1, 2019.

Following this webinar, you will be able to:

  • Review the overall changes to the RAI User’s Manual v. 1.17

  • Describe the changes in Chapter 2 with the removal of assessment options in A0310B and the addition of new PPS assessments

  • Delineate enhanced section GG coding tips

  • Explain changes in sections I, J, and O

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Jane Belt has no conflicts of interest to disclose.

My Stars - What's Happening?

Members: $19  |  Non-members: $59 
Continuing Education: This webinar is eligible for 1.0 CE hours
Recording Date: April 30, 2019
Duration: 60 minutes
Speaker: Jane Belt, MS, RN, RAC-MT, QCP

Have you been discussing the April 2019 Five-Star Rating System changes with your director of nursing and administrator? We all need to be prepared for the very real possibility of losing stars. With the April 2019 revision of the Five-Star Technical User’s Manual, we learned there will be changes to all three Five-Star domains. In this 60-minute webinar, we cover some of the significant changes that facilities need to be aware of, including the “unfreezing” of the survey ratings, the threshold adjustments to the staffing domain, the separate weighting and thresholds for the short- and long-stay quality measures, and the new and retired measures. Watch to gain a better understanding of what you need to know and how to prepare as these Five-Star changes take effect.

Following this webinar, you will be able to:

  • Describe the changes in each of the domains impacting the Five-Star rating 

  • Delineate the calculation of the overall Five-Star rating

  • Discuss strategies for managing your facility's Five-Star rating

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Jane Belt has no conflicts of interest to disclose.

The Draft Technical Specifications Provides a Sneak Peek into the PDPM

Members: $19  |  Non-members: $59 
Continuing Education: This webinar is eligible for 1.0 CE hours
Recording Date: Feb. 19, 2019
Duration: 60 minutes
Speaker: Jessie McGill, RN, RAC-MT

Since the Patient-Driven Payment Model (PDPM) was finalized in the FY 2019 SNF PPS Final Rule, CMS has consistently provided us with a steady flow of information and training materials and launched a new PDPM website. While this has contributed great insight into the new payment model, the recent release of the draft Technical Specifications and MDS item sets finally gives us a truly good look at what we can expect on the PPS assessments this October. During this 60-minute webinar, we will also take a deep dive into the new Interim Payment Assessment (IPA) item set and discuss what this assessment can tell us about PDPM.

Following this webinar, you will be able to:

  • Understand why many items were removed from A0310 and what was added

  • Be aware of key changes to I0020 and how this will impact the SNF QRP and PDPM

  • Review the new Interim Payment Assessment Item Set

  • Learn what the technical specifications tell us about the PDPM

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Jessie McGill has no conflicts of interest to disclose.

As the MDS World Turns October 1, 2018 Updates, Changes, Clarifications - Part 1 and 2

Members: $38  |  Non-members: $118
Continuing Education: This webinar is eligible for 2.0 CE hours
Recording Date: Sept. 11 and 13, 2018
Duration: Two 60-minute sessions
Speaker: Jane Belt, MS, RN, RAC-MT, QCP

The wait is over and the manual has arrived! AANAC is ready to discuss and review the CMS RAI User’s Manual updates that will go into effect on Oct. 1, 2018. As we are sure you have been hearing, there are many new items added to the MDS, in particular section GG. However, be aware there are other updates, changes, clarifications, transitions to optional state items, and even deletions that will impact your work. 

With so many changes this year, we are dividing up the content you need to know and spreading it out over two 60-minute webinars to help you absorb it all and answer your questions. It’s important to attend both webinars so you get the full picture of the updates and how they will affect your role as a NAC.

Following this webinar, you will be able to:

  • Discuss the overview of the changes impacting completion of the MDS effective Oct. 1, 2018

  • Delineate the additions to section GG that will impact the facility’s SNF Quality Reporting Program

  • Review the new items in section N, regarding drug regimen review and how that differs from the Requirements of Participation

  • Find additional resources available

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Jane Belt has no conflicts of interest to disclose.

PDPM Finalized: A Look at the Changes and a Plan for What's Ahead

Members: $19  |  Non-members: $59
Continuing Education: This webinar is eligible for 1.0 CE hour
Recording Date: Aug. 14, 2018
Duration: 60 minutes
Speaker: Jessie McGill, RN, RAC-MT

The Patient-Driven Payment Model (PDPM) has been finalized and will replace RUGs-IV Oct. 1, 2019. In the Final Rule, CMS made several important changes from the proposed model after receiving comments from AANAC, providers, and other stakeholders. During the webinar, we provide an overview of the PDPM and detail the changes made during final rule making.  Additionally, we look at a strategic plan and training that will keep you in the know and ready for implementation next October.

Following this webinar, you will be able to:

  • Provide an overview of the Patient-Driven Payment Model (PDPM)

  • Describe the changes made during final rule making to the PT and PT component, Interim Payment Assessment, and more

  • Develop a plan on how to be prepared for Oct. 1, 2019

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Jessie McGill has no conflicts of interest to disclose.

Quality and Value: The Future of Medicare and Your Role Within It

Members: $19  |  Non-members: $59
Continuing Education: This webinar is eligible for 1.0 CE hour
Recording Date: July 10, 2018
Duration: 60 minutes
Speaker: Maureen McCarthy, BS, RN, RAC-MT, QCP-MT

With so much riding on quality and value, you and your team must understand how your facility is being evaluated based on these metrics and what efforts you can implement now to safeguard your success in the future.

This program will guide you through new healthcare reform efforts and alternate payment methods as CMS moves away from a resource utilization reimbursement system. Specifically, you will receive a review of the SNF VBP and SNF QRP programs and how these new programs will influence nursing documentation and Quality Reporting.

After attending this webinar, you'll be able to:

  • Understand Medicare’s Value-Based Purchasing (VBP) and how the program is funded and monitored
  • Determine how facilities will be ranked based on their value
  • Know which measure is currently utilized for VBP
  • Differentiate between Five-Star and the Quality Reporting Program (SNF QRP)
  • Define how quality relates to revenue

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Maureen McCarthy has no conflicts of interest to disclose.

"To Be or Not to Be" Medicare Skilled

Members: $19  |  Non-members: $59
Continuing Education: This webinar is eligible for 1.0 CE hour
Recording Date: Jan. 25, 2018
Duration: 60 minutes
Speakers: Jane Belt, MS, RN, RAC-MT, QCP

Do you find yourself asking or being asked the infamous question, “Is the resident skilled?” Making Medicare coverage decisions is a huge responsibility that can sometimes be very perplexing. This session will provide you and your team with the process of determining Medicare coverage, the defining points of skilled services, and tips for managing the clinical and financial integrity of the MDS and its key components.

At the end of this session the participants will be able to:

  • Describe the elements of technical eligibility for Medicare Part A coverage

  • Identify the principles for determining whether a service is skilled

  • Detail when Medicare eligibility begins and ends

  • Delineate documentation needed to support skilled decisions and minimize denials

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Jane Belt has no conflicts of interest to disclose.


The New Survey Process for the NAC

Members: $19 |  Non-members: $59
Continuing Education: This webinar is eligible for 1.0 CE hour
Recording Date: July 28, 2017
Duration: 60 minutes
Speaker: Carol Maher, RN-BC, RAC-MT, CPC

The new survey process is scheduled to begin in all states November 28, 2017. This webinar will briefly describe the new survey process with a special focus on how the MDS data is used to develop the survey sample and how the NAC can prepare for the new survey process. Learn which MDS items will be survey-focused during the new survey process. The planned MDS updates for Sections N and P will fold into the new survey pathways. The webinar will give a brief overview of these two important changes to the MDS and their effects on survey and resident-centered care planning. Are your care plans resident-centered? Do you know the difference between a Baseline Care plan and a Comprehensive Care plan? Care plans will certainly be a focus of the new survey process. Be ready for the new survey process. Start now to prepare.

In this webinar, the speaker will:

  • State how the MDS will be used to develop the survey sample off-site
  • Explain how motion sensors can have the effect of restraining a resident
  • State the timeline for Baseline Care plans
  • Describe how the new 2017 Section N MDS items tie to the new regulations and the survey process

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Carol Maher has no conflicts of interest to disclose.


Don't Get Stumped on These MDS Common Coding Errors

Members: $19  |  Non-members: $59
Continuing Education: This webinar is eligible for 1.0 CE hour
Recording Date: March 30, 2017
Duration: 60 minutes
Speaker: Jane Belt, MS, RN, RAC-MT, QCP

Even for seasoned MDS nurses, MDS items may give you pause when the situation occurs. Or perhaps you are talking to a colleague and find out that he/she codes the same item differently than how you have been told. How could anyone get confused when there are only approximately 1,100 pages of instructions for completing ONE assessment? Trust us – it can happen to anyone! Obviously with that many instructions combined with the complex clinical situations that occur in our long-term care world, it is not a surprise when we get stumped, or an MDS response is challenged by a surveyor. In this 60-minute webinar, we will cover the most common coding errors and how some errors can impact more than just the MDS.

At the end of the session, participants will be able to:

  • Identify the most common coding errors in the various sections of the MDS
  • Delineate the keys to determine when to do what assessment, and when to combine assessments and when to not
  • Describe the concept of flexibility in setting the ARD for some MDSs
  • Review the impact of three common coding errors and the possible impact on reimbursement or Quality Measure triggered outcomes

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Jane Belt has no conflicts of interest to disclose.


NACs, Do You Know How the Mega-Rule Will Change Your Job?

Members: $19  |  Non-members: $59
Continuing Education: This webinar is eligible for 1.0 CE hour
Recording Date: January 18, 2017
Duration: 60 minutes
Speaker: Jessie McGill, RN, RAC-CT

The Mega-Rule is a CMS Final Rule that effects many SNF regulations, including person-centered care plans, resident rights, discharge, and PASRR. Several of these changes will impact the role of the NAC. Join us as we breakdown the Mega-Rule and explore which areas will potentially impact the RAI process. We will guide you through understanding these changes and how to best integrate the new regulations into your workflow.

This webinar will help you:

  • Understand the basics of the Mega-Rule
  • Detail areas of the Mega-Rule which will have the largest impact on the role of NAC and the RAI process
  • Identify ways to integrate the regulation changes into current processes and workflow

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Jessie McGill has no conflicts of interest to disclose.


Five Ways You Could Be Miscoding Pressure Ulcers

Members: $19  |  Non-members: $59
Continuing Education: This webinar is eligible for 1.0 CE hours
Recording Date: March 21, 2016 
Duration: 60 minutes
Speaker: Carol Maher, RN, BSN, RAC-CT

Take control of wound healing by learning about pressure ulcer staging to help produce positive wound outcomes. Master assessment skills and learn how to identify pressure ulcers and their accompanying risk factors. This session will arm the novice with strong assessment skills to help identify and stage pressure ulcers and will enhance the skills of those with experience.

This webinar will help you:

  • Help prevent pressure ulcers before they happen by knowing the risk factors
  • Keep your documentation accurate by identifying the correct staging of pressure ulcers
  • Never again question whether you’re correctly coding "present on admission"
  • Understand the anatomy of a pressure ulcer bed by identifying the tissue types that may be present
  • Ensure effective care planning by recognizing the MDS items that trigger Quality Measures for long-stay and short-stay residents

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Carol Maher has no conflicts of interest to disclose.