Webinars

Conducting an Effective Triple Check Process for PDPM

February 25, 2022

OVERVIEW

This webinar will review the processes required to submit accurate Medicare claims. PDPM has brought more complexity to Medicare billing with 5 case mix adjusted components that must be submitted. This webinar will review the resident characteristics, demographic data, hospital stay information and billing where COVID-19 waivers were invoked in addition to the PDPM specific components. ICD-10-CM coding is key to accurate reimbursement. The importance of selecting an appropriate primary diagnosis and supporting diagnoses will be explained. The entire Medicare team, led by the NHA, must collaborate to ensure that accurate and timely claims are submitted.

Learning Objectives:
1. State which items must be supported for the PT/OT component of PDPM.
2. Name the 5 components of PDPM that must be supported.
3. Report how interrupted stays should be coded on the UB-04 claims.

Instructor

Carol Maher, RN-BC, RAC-MTA, RAC-MT, RAC-CTA, RAC-CT, CPC

Carol Maher is a Board Certified Gerontological Registered Nurse with over 30 years of long term care experience and has worked in long term care in many roles. She worked as the MDS Coordinator in a 300 bed SNF in Pennsylvania for 8 years before moving to CA to become the MDS Coordinator/Director for a 1200 bed SNF in San Francisco. She has also worked as the MDS Coordinator in a SNF that typically had 60-75 residents on Medicare in addition to 160 long-term care residents. Most recently she was the Senior VP of Utilization Services and Director of Reimbursement for large multi-facility organizations.

Carol has worked as one of the Gold Standard nurses for MDS 3.0, serving on the RAP workgroup to prepare the way for the CAAs for MDS 3.0, and participating on a number of Technical Expert Panels related to MDS, Quality Measures and care planning. A sought-after speaker, she has given presentations at AANAC, AHCA and Leading Age national conferences as well as many state organization presentations. She is also a frequent author of articles related to the RAI process and PPS. Carol served as a member of the AANAC Board of Directors for 9 years. She is presently serving as the chair of the AANAC Expert Advisory Panel and as an AANAC Master Teacher of the RAC-CT and RAC-CTA certification courses. Ms. Maher is the Director of Education for Hansen Hunter & Co. P.C., providing MDS and Medicare classes across the country, presenting monthly educational webinars and completing compliance audits. She is the author of Long-Term Care MDS Coordinator’s Field Guide (HCPRO 2016).

Credit Hours

  • 1.5 credit hours for RNs
  • 1.5 credit hours for NABs

This pre-recorded webinar expires on November 10, 2022.

$99.00

Hansen Hunter & Co. P.C. clients are invited to access any of our webinars for free by contacting Allison Johnson at our office at 503.244.2134 to receive your free registration code.

Disclosures

  • This nursing continuing professional development activity was approved by Montana Nurses Association, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation.
  • Enduring material: To meet the requirements for these contact hours, you must watch the entire recorded presentation as well as answer and submit the post-test evaluation that is provided as a link along with the link to your webinar which you will receive via email after completing your purchase.