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Data Speaks: CMS 5 Claim TPE and Industry Audit Trends-December 2023 Webinar
Wednesday, December 06, 2023, 2:00 PM - 3:00 PM EST
Category: Webinars

Data Speaks: CMS 5 Claim TPE and Industry Audit Trends

When: Dec 6, 2023 02:00 PM Eastern Time (US and Canada) 1 hour

Register in advance for this webinar: https://us02web.zoom.us/webinar/register/WN_bC6Lor3rQnWxsgTz8GUv-Q

 

Overview:
On May the 4th 2023 CMS issues a change request to the industry of MACs perform a 5- claim probe and educate medical review on every SNF in their jurisdiction.  The stated purpose of this widespread review was to lower the SNF improper payment rate. Join us for Data Speaks to gain knowledge regarding industry trends, program integrity requirements, and methods for promoting community success upon audit and review.
 
Learner Objectives:
  1. Explain the intent of CMS 5 Claim Review
  2. Define key areas of the MDS for which communities should complete proactive review
  3. Explain best practices for interdisciplinary team engagement in post review education

Speakers:

Kendall Brune
Dr. Kendall Brune, PhD, CHP, MBA, LNHA, FACHCA has thirty plus years of experience in senior healthcare executive capacities in the development, construction and operation of ambulatory, pharmacy, senior housing, and care facilities. He currently owns, operates and manages facilities in MO, IL, TN and FL. Dr. Brune is an Adjunct Associate Professor in Family Medicine at Meharry Medical College. He also serves as the District 6 Governor for American College of Healthcare Administrators
 
Bob Lane
Robert Lane is the President and CEO of the American College of Health Care Administrators (ACHCA). A seasoned post-acute care executive, he has been involved in health care for more than 39 years, and long-term care for over 35 years as an administrator, field trainer, Quality Improvement Organization (QIO) project manager, speaker, and consultant. Bob holds a bachelor’s degree in Allied Health Administration
from the University of Kansas, and a Graduate certificate in Gerontology and master’s degree in Health and Human Services Administration from the University of Oklahoma. He is a Certified Fellow and immediate past chair of the Board in the American College of Health Care Administrators. Nationally, Bob serves as a member of the Advancing Excellence in America’s Nursing Homes’ board, a member of the Vison 2025 steering committee and the National Institute for C.N.A Excellence (NICE) advisory board.
 
Jessie McGill
Jessie McGill, RN, RAC-MTA, RAC-CTA, is a curriculum development specialist for AAPACN. Previously, Jessie worked as the director of clinical reimbursement for a large long-term care organization overseeing 17 clinical reimbursement consultants across 21 states including nearly 300 living centers. She has more than 19 years of long-term care experience including restorative nurse, MDS coordinator, regional clinical reimbursement specialist, clinical reimbursement trainer, and director of clinical reimbursement. Jessie is passionate about developing the skills of nurse assessment coordinators, restorative nursing, and improving residents’ quality of life and care.
 
Sherri Robbins
Sherri Robbins, RN, BSN, CLNC, RAC-CTA, LNHA is Senior Managing Consultant at FORVIS National Health Care Group, Sherri has more than 30 years of experience and focuses on long-term care.  She provides clinical consulting for health care providers and educates providers about Medicare reimbursement strategies.  Sherri has trained numerous skilled nursing facilities as well as swing bed and skilled nursing units about proper minimum data set completion to manage the Medicare program.  She performs comprehensive follow-up reviews focused on patient-centered care and regulation compliance to help providers obtain appropriate Medicare reimbursement.   Sherri also assists clients with Medicaid case mix education, strategies and monitoring for successful programs.
 

Contact: Renee Kinder [email protected]