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Moving Mountain 13-part webinar series ~ The Phase 3 ROP & 2019 Reimbursement Changes Planned! LeadingAge WA has continued our partnership with Proactive Medical (that brought you our successful 2018 Phase 2 trainings) to prepare for the next webinar series focused on successfully managing the industry changes taking effect in 2019 including Phase 3 Requirements of Participation and the potential transition of Medicare PPS from RUGs IV to the Patient Driven Payment Model (PDPM).  Our goal is to support Washington SNF’s with substantive education, tools, and resources to implement practical, step-wise action plans for success with the 2019 changes.

Session Title: PDPM: Rehab Program Transitions and Provider Insight for SNF PT, OT, and SLP Service Reimbursement

Presented By:  Shelly Maffia, MSN, MBA, RN, LNHA, QCP, Clinical Consultant and

• Amie Martin, OTR/L, CHC, RAC-CT, Clinical Consultant

• Eleisha Wilkes, RN, RAC-CT

Course Description:

This 1.25 hour webinar will review strategies for successfully managing rehabilitation programs through the shift in reimbursement from a focus on therapy service time delivered to the patient driven payment model which emphasizes resident characteristics.  Content will explore meeting and justifying Medicare skilled service requirements, considerations for contract therapy terms and service delivery under PDPM, consumer expectations for rehabilitation, potential areas of future medical review, and interdisciplinary collaboration for quality outcomes. Guidance regarding preparing for payment model changes while maintaining an effectively functioning therapy program will be provided. An action planning tool will be shared with participants.  

Learning Objectives

1. Identify key operational action steps to ensure sound systems for justifying Medicare skilled stays with the onset of changing case mix component criteria.
2. Understand key considerations for SNF therapy service delivery, contract therapy terms, and rehab program success under PDPM.
3. Identify practical operational and clinical program activities to harness collaborative approaches to promote quality care and functional outcomes.

 Course Content

11:00 a.m.             Overview PT, OT, and ST case mix components under PDPM

11:15 a.m.             Therapy program success under PDPM:

• Justifying skilled stays
• PT, OT, ST service delivery considerations
  • Contract therapy
  • Service volume
  • Group and concurrent therapy
  • Variable payment adjustments and length of stay
• Department Operations
  • Staffing and productivity
  • Outcomes
• Consumer expectations for the rehab stay
• The future of medical review

12:10 p.m.             Q&A

12:15 p.m.             Closing Comments

Target Audience:   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

PDPM Rehab Program Transitions and Provider Insight for SNF PT OT and SLP Service Reimbursement June 5th

Phase 3 RoP 2019 webinars-registration details 11_18

Register for ONE or ALL! Recordings available!