This webinar will review best practices to decrease potential billing errors and promote accurate reimbursement for PDPM claims through internal interdisciplinary auditing processes. Emphasis will be on key roles of interdisciplinary team members in completion of a collaborative triple check process of items impacting PDPM reimbursement. In addition, key data collection, billing, and monitoring processes pertinent to PDPM will be discussed, including but not limited to understanding the updated HIPPS codes and validating UB-04 accuracy prior to submission.
Target Audience: Owners and Corporate Teams, Director of Nursing, Assistant Director of Nursing, Nurse Managers, Nursing Home Administrators, Nursing staff and leaders, Quality Assurance Director, Medical Records, MDS staff, Therapy staff, Business Office and Finance
Instructional Level: Intermediate
Shelly Maffia, MSN, MBA, RN, LNHA, QCP, Clinical Consultant
Shelly Maffia is a Registered Nurse and Nursing Home Administrator with over fifteen years of experience serving in long term care leadership and consulting positions, including positions as Director of Nursing, Administrator, and Corporate Nurse Consultant and Training Positions. She earned the QAPI Certified Professional (QCP) credential from the American Association of Nurse Assessment Coordination (AANAC), which was established to promote the highest standards for QAPI program implementation in the long-term care profession.
Amie Martin, OTR/L, CHC, RAC-CT, Clinical Consultant
Amie Martin is an Occupational Therapist and Compliance Officer with over twenty years of experience serving in long term care leadership positions and as a clinical program specialist. Amie is certified in healthcare compliance. She has successfully partnered with providers to develop and implement Compliance and Ethics Programs, achieve 5-star survey results, and ensure Medicare reimbursement accuracy as Founder and President of Proactive Medical Review Consulting.
Eleisha Wilkes, RN, RAC-CT, Clinical Consultant
Eleisha Wilkes is a Registered Nurse with over fifteen years of experience in long term care. She has served as a Director of Nursing, Case Manager and Resident Assessment Coordinator with extensive responsibility and success in driving QA in the areas of person-centered assessment and care planning through effective systems, staff development, and interdisciplinary team collaboration. She now serves as an RN Clinical Consultant with Proactive Medical Review & Consulting, LLC.
ANCC (nursing) contact hours can be earned for viewing the archived sessions and completing the requirements, including the HAH Evaluation, for up to two (2) years from the date of the live webinar; NAB (nursing home administrators) contact hours can be earned for up to one (1) year from the date of the live webinar.
Each archived webinar is $149 (go to Proactive Medical Review); registrants who purchased the live session may receive a discount code from HAH for 50% off the archived session rate.
To receive a Certificate of Completion, participants must register and pay for the webinar through Proactive Medical Review and complete the corresponding HAH evaluation through SurveyMonkey. Questions? Send an email to firstname.lastname@example.org.
NAB Approved Contact Hours 1.25 each session (see disclosure above)
Valid for the live and archived webinar: This continuing nursing education activity was approved by Oregon Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation for 1.25 contact hours. Approval valid through 10/01/2021. OCEAN ID #2019-44.
State licensure boards have final authority on the acceptance of individual courses.
There is no conflict of interest for any planner or presenter with this learning activity.
For questions about certificates, contact Lori Henning at email@example.com.