EDUCATION

  • PDPM

  • RAI process

  • MDS/Staffing Focus Survey

  • SNF Quality Reporting

  • Advanced PPS management

  • Basic MDS coding for beginners

  • Quality Measures

  • Five Star Rating System

  • MDS scheduling

  • RUG IV

  • State Medicaid RUG training

  • Medicare Management in a Skilled Nursing Facility

  • Navigating a Medical Review

  • Beneficiary Notices in a SNF

  • Consolidated billing for the clinical team

Judy teaches multiple public and private webinars and face to face seminars in all parts of the country for long term care team members on the following topics:

Judy teaches multiple public and private webinars and face to face seminars in all parts of the country for long term care team members on the following topics:Judy teaches multiple public and private webinars and face to face seminars in all parts of the country for long term care team members on the following topics:

AANAC Workshops

Judy is a Master Teacher for these three day workshops:

  • Resident Assessment Coordinator-Certified (RAC-CT)

  • Advanced Resident Assessment Coordinator (RAC-CTA)

See AANAC.ORG for information and registration. If are interested in a private 

AANAC workshop for your organization, use our contact page.

These workshops award 22.5 Nursing and 22 NAB CEUs.

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PDPM On & Off-site Reviews

Judy will work remotely or on-site to provide PDPM review and education for compliance and missed opportunities.  Clients have seen significant reimbursement increases with her insights and education.  She is a Certified Professional Coder and AHIMA approved ICD 10 trainer, so she can also review and teach correct ICD-10 coding.  She was a contributor to the AHCA/AHIMA ICD-10 coding web-based training.  

Clients have seen significant revenue increases with more compliant MDS and ICD-10 coding for PDPM.  Her wealth of clinical knowledge combined with Medicare expertise make her uniquely qualified to audit and to teach.  Teaching staff after the reviews is probably her forte.  She doesn't just send a list of 'over and underpayments.'  She spends time listening and teaching. She is a great teacher because of her vast knowledge and expertise and because she has the gift of teaching.  She believes that any expert that cannot explain a complex subject to anyone in a way they can easily understand is not really an expert.  She wants to work herself out of a job by making your staff self sufficient.  

Medicare Compliance

Judy brings her experience as a state surveyor and legal expert for the US Government to replicate a government audit and teach facility team members how to implement and manage an on-going, robust Medicare compliance auditing program.  The review will be conducted by Judy Brandt  and will focus on review of your systems that support a successful and compliant Medicare program.  This service is being offered to supplement your organization’s compliance program and quality/ performance improvement efforts.  The goal is to give the organization the tools and knowledge to perform these audits internally afterwards.

Scope of Work: The following areas will be verified:

  • 3 day qualifying hospital stay;

  • Diagnoses on claim were appropriate to skilled services on that claim;

  • RUG from MDS is supported in clinical record during lookback;

  • All skilled services were performed in accordance with a written physician’s order per a prescribed plan of treatment that was reasonable and necessary to include frequency, duration and mode of therapy or nursing services;

  • COTAs and PTAs performed treatment under the written supervision of a licensed therapist (OT or PT);

  • Skilled nursing services were performed under the supervision of a Registered Nurse and documented to support RUG billed and dates of service on claim that supported a daily skilled need;

  • MDS in national repository prior to billing;

  • MDS assessment reference date (ARD)  chosen in compliance with Medicare guidelines and date selected to optimize RUG rate,  OMRAs done or not done per RAI manual instructions;

  • MDS information correctly transcribed to claim;

  • Physician certifications timely and complete;

  • Beneficiary notices of non-coverage/denial letters done correctly.

These reviews generally last two days on-site and can be conducted offsite, with a detailed exit conference and a detailed follow up written report.  Judy is available afterwards for any educational needs that arise as a result of these audits.  For more information, contact Judy at judy@judywilhide.com

-T. Roosevelt  (Adapted)