|
Speaker |
Reta A Underwood |
|
Industry |
Healthcare |
|
Speciality |
Nursing |
|
Available |
All Days |
|
Duration |
60 Minutes |
Description
The PPS PDPM methodology is categorized and calculated based on the individual patient. Knowing and capturing categorized information is important to assess outcomes and will drive reimbursement. When completed correctly it is rewarding however even one mistake can have a negative impact, not only financially but also clinically and in quality measurements. The Minimum Data Set (MDS v3.0) assessment is the required assessment of the CMS. This 48-page document requires staff to abstract from the patient’s medical record and interviews the data to support the accuracy of the assessment while adhering to required timeframes and submission guidelines. Errors, submission delays, and lack of adherence to the rules can cause serious problems for the facility.
Learning Objectives
Areas Covered
Background
The Centers for Medicare and Medicaid Services (CMS) implemented the PPS PDPM model to replace the RUG-IV reimbursement system for Skilled Nursing Facilities in FY2019 and is used to classify skilled patients in a covered Part A stay. Annually the CMS updates the PPS PDPM model. Providers and assessors must stay apprised of these ongoing updates along with knowing the basic intricacies of this complex system.
Why Should You Attend
If you are a facility or corporate representative and are expected to know the PDPM reimbursement program utilizing the MDS assessment (MDS Assessors, Interdisciplinary Team Members, Biller, Medical Record Coders, Directors of Nursing, Administrators or work in the Business Office) in your job. This program will provide you with updated information and insightful tools to perform successfully.
Who Should Attend
(Speaker)
Reta Underwood has 34 years of professional work experience in long-term care, including facility-level roles and two decades of consulting and training services throughout the country. She is nationally certified through the American Association of Nurse Assessment Coordination as a Resident Assessment Coordinator (RAC-CT); Certified Nurse Manager and has successfully completed Medicare University and Nurse Manager courses.
Experience
1981 – 1996 Long-Term Care Facility Employment Reta held department management positions for long-term care facilities in four states and received corporate and trade association awards for her programs and achievements.
1996 – Current Consultants for Long Term Care, Inc. (CLTC) As CLTC co-owner and president, Reta has facilitated and directly provided an extensive array of services for hundreds of hospitals, long-term care, and senior housing clients in 48 states to date, as well as for state and national associations. These services have included but weren’t limited to, the list below. Please contact CLTC for more details.
Publications
Reta has numerous articles published in long-term care industry trade publications, and she has been used as an expert resource professional for multimedia including interviews, blogs, podcasts, and social media platforms. CLTC has copyrighted several clinical documentation forms, such as for nutritional assessment, patient change of condition, and activities assessment.