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 Workshop

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.

To all who work in any capacity in long term care: 

It is not the critic who counts; not the one who points out how the strong one stumbles, or where the doer of deeds could have done them better. The credit belongs to the one who is actually in the arena, whose face is marred by dust and sweat and blood; who strives valiantly; who errs, who comes short again and again, because there is no effort without error and shortcoming; but who does actually strive to do the deeds; who knows great enthusiasms, the great devotions; who spends him or herself in a worthy cause; who at the best knows in the end the triumph of high achievement, and who at the worst, if he or she fails, at least fails while daring greatly, so that his or her place shall never be with those cold and timid souls who neither know victory nor defeat. 

-T. Roosevelt  (Adapted)

FIVE STAR QUALITY MEASURES AUDIT

Judy will come on-site for a chart to chart review to verify accurate coding and scheduling to ensure your QM stars are absolutely accurate.

She can predict your QM rating before it's published,  offer tips for strategic planning to balance RUG and QM implications of the OBRA and PPS MDS schedule. These audits generally take two days. You provide her with your Casper Reports and Five Star Preview reports prior to the visit.

 

She will select resident records and validate accuracy, providing education and feedback to clinical staff on-site. This is followed up with a detailed report on the findings.  She evaluates MDS accuracy and scheduling along with any clinical systems  opportunities uncovered.  She will then provide any needed staff training via webinar or on-site.

 

Stragetically managing the Five Star Rating System is a popular topic she is asked to present to Administrator/DON yearly conferences around the country. 

Hi Judy,

I just wanted to let you know that we received our quarterly quality measures and our score is 755!  Only 5 points from 5-star. A long way from the one star QM rating you correctly predicted on our first visit a year ago. I am sorry to be so close and not make it, but your review and training was quite helpful in managing this process. 

-Facility Administrator 

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, 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,  use the contact page.