Live webinar recorded on 03/02/2021

$120.00

Click here to register and listen

PDPM ADRs: Getting the claims paid

Description

Learn how to assemble a chart for a PDPM ADR to get the claim paid. While the MACs have been relatively quiet, the MA plans and RACs have not. Judy will share her successful strategies for effectively getting the chart together, & writing cover letters to guide the reviewer through rapid verification of HIPPS code and skilled level of care. She will also share how to avoid denials due to missing documentation, based on her nationwide experience in what is commonly unsupported in the clinical record. 

Live webinar recorded on 03/03/2021

$120.00

Click here to register and listen

SNF QRP Explainer: Avoid a 2% APU reduction this October

Description

Basic explainer of what SNF QRP is, what you need to know, how to monitor. Judy will explain in a live webinar how the 2% penalty will be applied this October, with the pandemic exceptions. She'll also explain the QRP measures and what to do with those "review and correct" reports we're supposed to be caring about.

Description

Designed for MDS Coordinators who also assign ICD 10 CM codes for PDPM. This approximately 90 minute to 2 hour live webinar will teach an MDS coordinator how to use an ICD 10 coding manual, following all general and chapter specific guidelines. We'll use very common PDPM ICD 10 CM diagnosis codes to impart the coding rules. There will be live Q&A via chat box. Topics include: Where to find and how to use the General and Chapter Specific coding guidelines; What it means to "follow all notes and instructions." Judy, as always, developed this course and will teach it. She is a CPC and a current AHIMA approved ICD-10 trainer. She assisted in developing the AHCA/AHIMA ICD-10 Coding certification course.

Register here and watch immediately

 How to Use and ICD-10 CM Coding Book: and Oct 20 coding guideline updates
Recorded On-Demand Webinar $120.00
One hour 22 minutes

Description

PDPM Explained for SNF MDS Coordinators or others who manage a Part A Census in a SNF

Recorded Live 05/06/2020

1hr 40 min

$125.00

Target audience:  SNF interdisciplinary team members involved in managing a Medicare A census; corporate consultants and business office team members who’d like to understand the PDPM payment system

Key Results:

  • •Become familiar with MDS items used to set component CMI rates for PDPM

  • •Become familiar with the current CMS ICD-10CM clinical category mapping tool 

  • •Understand the role of ICD 10 coding in PDPM

  • •Understand the PT/OT and Nursing function score and implications for payment

  • •Learn how MDS items are used in case mix adjusted components of the PDPM per diem rate

  • •Understand the variable per diem adjustment schedule

  • •Understand the scheduling rules for a PPS 5 day and Interim Payment Assessment

  • •Understand the ‘interrupted stay’ policy and how it impacts payment for SNF PPS

  • •Discuss what PDPM components qualify for the presumption of coverage

New Beginners:  Eight Part Recorded Webinar Series:

Pandemic Pricing:  Normally $125 now $60.00 per webinar, for 7 with 8th webinar free. 

New Beginners:  Eight Part Recorded Webinar Series:

Pandemic Pricing:  Normally $125 now $60.00 per webinar, for 7 with 8th webinar free. 

Part 1:  Introduction to the RAI Process, Section A coding, OBRA and PPS Scheduling

Target Audience:  MDS Coordinators

Length:  1:24

Agenda:

  • Introduce the RAI process 

  • Understand the importance of using the RAI Manual for MDS scheduling and coding 

  • Become familiar with the contents of the RAI manual 

  • Know resources available at QTSO.CMS.GOV 

  • Discuss regulatory requirements for the MDS 

  • Identify key items and common coding issues in Section A. Identification Information

  • Delineate the Types of Assessments including: Federal OBRA Assessments, PPS Assessments, Other Medicare Required Assessments and Entry/Discharge reporting. 

  • Explain required time frames for assessment completion and submission.

Part 2: Sections C,D,E & Q

Target Audience: MDS Coordinators and Social Workers

Length:  1:17

Agenda:

  • Discuss coding accuracy for:

    • Section C: Cognitive Patterns

    • Section D: Mood

    • Section E: Behaviors

    • Section Q: Participation in Assessment and Goal Setting

  • Understand the importance of using the RAI Manual as a reference for coding these sections and conducting the interviews 

  • Delineate components of interview for Mental Status (BIMS) and Signs / Symptoms of Delirium 

  • Identify critical components of Resident Mood Interview (PHQ-9). 

  • Explain how to appropriately code Behaviors (Section E). 

  • Explain regulatory reason Section Q is on the MDS 

  • Discuss PDPM implications of these sections 

  • Discuss QM implications of these sections

Part 3: : Sections B, G, & GG: 

Target Audience: MDS Coordinators

Length:  1:18

Agenda:

  • Describe correct coding for Section B Hearing Speech and Vision

  • Understand coding rules for Section G Functional Status:

  • Activities of daily living (ADLs), 

    • Altered gait

    • Balance,

    • Decreased range of motion.

  • Understand coding rules and unique lookback periods for Section GG Functional Abilities and Goals:  

    • Prior functioning and device use

    • Functional Abilities and Goals

  • Discuss PDPM and QM implications of these sections

Part 4: Section H, I & J

Target Audience: MDS Coordinators

Length:  1:25

Agenda:

  • Discuss coding accuracy for

    • •Discuss coding instructions for 

    • •Section H:  Bowel and Bladder

      • Appliances

      • Toileting programs

      • Bladder/Bowel Incontinence

      • Constipation

    • •Section I:  Active Diagnoses

      • 0020 for PPS Assessments

      • I0100 – I8000 coding instructions

    • •Section J:  Health Conditions

      • Pain and Pain Interview

      • Other health conditions

      • Tobacco use

      • Prognosis

      • Problem Conditions

      • Falls

      • Surgical procedures

Part 5: Section F, K & L

Target Audience: MDS Coordinators, Activities & Dietary

Length:  1:02 

Agenda:

Identify Coding Instructions for:

  • Section F:  Preferences for Customary Routine and Activities

    • Explain required interview techniques and rules

    • Discuss staff assessment of preferences

  • Section K: Nutritional Approaches

    • Signs and symptoms of possible swallowing problem: Accurate coding

      • PDPM implications

    • Height and weight, loss and gain: 

      • Understanding the lookback periods

      • Rules for “MD prescribed”

      • Weight loss implication for PDPM & QM

    • Nutritional approaches

      • Accurate coding for ”While” and “While Not” a resident

      • When IV fluids can be coded and when they count for PDPM

      • Feeding tube implications for PDPM

      • Mechanically altered diet:  Definition and PDPM implications

      • Therapeutic diet accurate coding

    • Calculating percent intake by artificial route, ‘while a resident’ and ‘during entire 7 days’ PDPM implications

  • Section L: Oral/Dental Status

    • Accurate coding

Part 6: Section M & N

Target Audience: MDS Coordinators, Wound Nurses 

Length:  1:05

Agenda:

Identify Correct Coding for:

  • Section M:  Skin Conditions

    • Risk of Pressure ulcers

    • Unhealed pressure ulcers/injuries

    • Present on admission

    • Venous/Arterial Ulcers

    • Other Ulcers, wounds and skin problems

    • Skin and ulcer/injury treatments

    • PDPM and QM implications of Section M

  • Section N: Medications

    • Injections

    • Insulin

    • Medications Received

    • Antipsychotic Medication Review

    • Drug Regimen review

    • PDPM and QM Implications

Part 7: Section O & P

Target Audience: MDS Coordinators 

Length:  1:04

Agenda:

  • Discuss proper coding for 

  • Section 0: Special Treatments, Procedures and Programs

    • O0100:  Special treatments, procedures and programs

    • O0250: Influenza vaccine

    • O0300: Pneumococcal vaccine

    • O0400:  Therapies

    • O0420: Distinct calendar days of therapy

    • O0425: Part A Therapies (Part A Discharge)

    • O0500:  Restorative Programs

    • O0600:  Physician Examinations

    • O0700:  Physician Orders

  • Section P:  Restraints and Alarms

    • P0100:  Physical Restraints

    • P0200:  Alarms

Part 8: Section V, Z and Care Area Assessments (CAA)

Target Audience: MDS Coordinators, IDT participating in the CAA process

Length:  46:00

Price:  Free bonus webinar

Agenda:

  • Identify the 20 Care Assessment Areas and the triggering process.

  • Describe the Care Assessment Area review process and documentation requirements.

  • Explain coding instructions and timing requirements for Section V0200:  Care Area Assessment Summary

  • Discuss Coding for Section Z:

    • Z0100:  Medicare Part A Billing

    • Z0200:  State Medicaid Billing

    • Z0250:  Alternate State Medicaid Billing

    • Z0300:  Insurance Billing

    • Z0400: Signature of Persons Completing the Assessment or Entry/Death Reporting

    • Z0500: Signature of RN Assessment Coordinator VerifyingAssessment Completion

Virtual AANAC RAC-CT & RAC-CTA classes taught by Judy Wilhide Brandt

AANAC RAC-CT Certification:  Increase your knowledge of clinical assessment and care planning, completion of the MDS, the regulations surrounding the RAI/MDS process, and managing the PDPM by attending an AANAC Resident Assessment Coordinator—Certified (RAC-CT) certification workshop. Having the RAC-CT credential behind your name shows that you are a knowledgeable and capable MDS professional. This certification is the most widely-recognized and respected MDS 3.0 certification available in the longterm care profession, as well as the mark of nurses who understand more than a paper form—they understand resident assessment.

AANAC RAC-CTA Certification: AANAC’s Resident Assessment Coordinator - Certified Advanced (RAC-CTA) program is an advanced certification for clinical reimbursement leaders who are current RAC-CT holders. This program provides advanced principles of clinical reimbursement, Medicare program compliance and integrity, RAI/MDS program integrity, leadership, ethical practice, managing medical review, accurate ICD-10 diagnosis coding, advanced strategies for payment oversight, and improving a facility’s quality measurement in all CMS quality programs

These workshops qualify for 22.5 CEU's

 

Workshop Pricing

AANAC Member Pricing  $675.00

Non Member pricing        $875.00


 

 

All classes are virtual 4 days, 6 hours daily from 12 Noon - 6 PM Eastern Time Zone

RAC-CT Certification

April 6 - 9, 2021

RAC-CT Certification

June 22 - 25, 2021

RAC-CTA Certification

May 17 - 20, 2021