◂  November 2019

Skilled Nursing Supportive Documentation for PDPM

Published by: ellyadmin




Cassi Meritt

Moving Mountains 14-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.






Skilled Nursing Supportive Documentation for PDPM

Presented By:

* 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, Principal Consultant & Director of Operations

Amie is an occupational therapist with over twenty years of experience serving in long term care rehabilitation leadership positions and as a clinical program specialist. She is certified in healthcare compliance through the Health Care Compliance Association. She has successfully partnered with post-acute care and rehabilitation service providers to improve clinical outcomes, compliance programs, medical record documentation, and to reduce error rates under medical review. Working with legal counsel to prepare defensive arguments and provide expert witness testimony, she has defended rehabilitation providers under large volume ZPIC and RAC government audits, recovering reimbursement on denied claims. Amie’s recent publications include articles for the American Occupational Therapy Association, American Association of Nurse Assessment Coordination (AANAC), American College of Health Care Administrators, and the American Health Lawyers Association. She has presented extensively to SNF health care associations and national groups such as NARA (National Association of Rehabilitation Providers and Agencies) and AANAC on documentation and Medical Review related topics.

* 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.

Course Description:

This 1.25 hour webinar will focus on skilled nursing documentation requirements and best practices as it relates to the new Medicare payment model- PDPM. The webinar will include review of skilled level of care criteria with an emphasis on skilled nursing services and documentation to support the skilled stay.

Learning Objectives:

1. Describe Medicare Skilled Coverage Guidelines

2. Understand what nursing services are considered as skilled level of care

3. Describe documentation requirements and best practices to support skilled nursing services under PDPM

Course Content:

  • 11:00  Medicare Skilled Coverage Guidelines
  • 11:30   Nursing Skilled Services
  • Noon   Documentation to support skilled nursing services
  • 12:15   Closing Comments/ Q&A

Target Audience: MDS Nurses, Director of Nursing, Assistant Director of Nursing, Nurse Managers, Nursing Home Administrators, Nursing staff and leaders

Instructional Level: Intermediate Contact Hours: 1.25

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