Members: $49  |  Non-members: $98
Continuing Education: This virtual workshop is eligible for 1.0 CE hour
Speaker: Judi Kulus, MSN, MAT, RN, NHA, DNS-CT, RAC-MT

The Patient-Driven Payment Model (PDPM) for traditional Medicare A residents is set to replace the current RUG-IV Medicare payment model Oct. 1, 2019. With a payment change this big, you can’t wait to begin preparing your facility teams.  Enhance your knowledge of the components of the PDPM system and gain valuable insight on the impact it will have on how care is delivered to your residents. You’ll also review the steps you want to consider to prepare your facility staff and organizational systems for this major transition. 

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

• Understand the five the case-mix adjusted components of the PDPM and what items impact each component 
• Review the drastic changes to the PPS Assessment schedule which go into effect with the PDPM 
• Discuss how the new assessment process impacts care models 
• Gain insight into how you can put a readiness plan in place to get your team ready for the PDPM implementation

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Judi Kulus has no conflicts of interest to disclose. 

Members: $180  |  Non-members: $360
Continuing Education: This virtual workshop is eligible for 3.0 CE hours
Speaker: Carol Maher, RN-BC, RAC-MT, CPC

In this two-part virtual workshop, AANAC master teacher, Carol Maher, RN-BC, RAC-MT, CPC, guides long-term care nurses and IDT members through the process of determining diagnoses and identifying the most appropriate ICD-10-CM codes. The accuracy of ICD-10-CM coding is paramount to ensure that resident’s medical records are representative of the resident; MDS assessments are accurate; Quality Measure exclusions are appropriately identified; and the principal and supporting diagnosis codes are correct on the UB-04 claim. In addition, the Patient-Driven Payment Model (PDPM), which goes into effect Oct. 1, 2019, has increased to importance of accurate ICD-10-CM diagnoses by shifting Medicare payments from therapy volume to resident characteristics. 

Participants will walk through the process for using the ICD-10-CM Manual, from the identification of the main term through the final code selection, and review coding and chapter specific guidelines.  Participants will also be given the opportunity to enhance learning and locate correct ICD-10-CM codes throughout this interactive virtual workshop.

Following this virtual workshops, participants will be able to:

• State the correct process for determining the ICD-10-CM code from the physician’s documented diagnoses
• List which practitioners can diagnose
• Explain the process for identifying the “main term” for diagnoses to assist clinicians to locate the basic code in the Alphabetic Index
• Depict the difference between “Excludes 1” and “Excludes 2” notes
• State the importance of chapter specific guidelines
• Successfully identify the ICD-10-CM code for a cancer diagnosis using the Neoplasm Table
• Describe when Z codes would be used as active diagnoses
• Explain steps required to determine a principal diagnosis

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Carol Maher has no conflicts of interest to disclose.

Section GG was first introduced in 2016 for use in a SNF QRP measure but has now expanded to be used in four more measures. In addition, section GG is used to determine functional scores for the Patient-Driven Payment Model (PDPM), which goes into effect Oct. 1, 2019. With the risk of losing two percentage points if you do not assess and submit GG data and the coming PDPM system impact, now is the to time to focus on accurately coding section GG. In this 60-minute virtual workshop, you’ll gain important tips on how to guide your facility’s team members to establish best practices for assessing function for section GG coding. During this session, nurse expert, Liz Barlow, BSN, RN, CRRN, RAC-CT, DNS-CT will also provide an overview of coding for section GG and how collaboration and communication between nursing and therapy is essential for accuracy.

This virtual workshop will help you:

• Understand the intent behind section GG 
• Strategize ways to incorporate coding tips and encourage collaboration among the IDT 
• Understand and apply the definition of “usual performance”  
• Identify ways in which to improve communication of function within facility 
• Describe the impact section GG has with QRP and PDPM

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Liz Barlow has no conflicts of interest to disclose.

Members: $49  |  Non-members: $98 
Continuing Education:  This virtual workshop is eligible for 1.0 CE hours
Speaker: Brenda Sowash, BSN, RN, RAC-CT

Now more than ever, CMS and state surveyors are watching facility performance through myriad measures: Quality Measures, Quality Reporting Measures, and Value Based Purchasing. In this session, the speaker will focus on the Quality Reporting Measures, both MDS and claims based, and detail the impact the measures have on facilities. You will hear about strategies on how to maintain your facility's annual percentage update (APU). Join us as we take a walk on the wild side of QRP.

This virtual workshop will help you:

• Review the components of the SNF Quality Reporting Program 
• Describe impact of the SNF QRPs on facilities 
• Discuss strategies to manage QRPs and improve outcomes

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Brenda Sowash has no conflicts of interest to disclose.