Florida’s Advocate for Long Term Care
Providers and the Elders They Serve

FHCA Regional PDPM Seminars

CMS’ Patient-Driven Payment Model (PDPM) will take effect October 1, 2019, replacing Resource Utilization Groups (RUGs) for Medicare Part A fee for service payment to skilled nursing centers. Payment is based upon an array of patient characteristics, primarily medical information, associated with newly designed direct care components. Administrators, reimbursement, clinical and coding staff all need an understanding of the PDPM, as it represents a fundamental shift in how care is delivered and centers are reimbursed.

FHCA’s Regional PDPM Seminars will help providers understand the PDPM and learn how to achieve success under the new payment system, including how to lower costs, optimize your reimbursement and improve patient outcomes. A bonus session on reducing hospital readmissions will cover steps that providers can take to improve their readmission score and maximize their Medicare revenue.

Attendee Registration

Nursing home administrators, nurse leaders, social workers, therapists, consultants, medical directors, financial and reimbursement specialist, MDS, Coders, admission directors and business office managers will benefit from these seminars. See below for specific locations.

Early-bird registration savings end December 19, 2018. Advance registration closes January 14, 2019.

Agenda

Background Methodology: Tom Parker, FHCA Director of Reimbursement
Attendees will receive an overview of the Patient Driven Payment Model (PDPM) focused on the methodology used to set rates and the key differences between PDPM and the current RUGs system.
MDS/ICD-10 Changes: Robin Bleier, RB Health Partners, Inc.
A missing or incorrect ICD-10 Code can impact a center’s revenue under PDPM. In addition, the focus of an audit by MAC/RACs could be on ANY of the 161 items that contributed to one of the components qualifiers used to achieve case mix group. This session includes review of PDPM rules, case mix groups, MDS final coding rules, ICD-10 coding, GG coding, co-morbidities, and how to manage the new Interim Payment Assessment impact.
Operationalizing the Changes: Deborah Franklin, FHCA Senior Director of Quality Affairs
Attendees will receive an overview of the operational changes needed to manage the new Patient Driven Payment Model (PDPM). The examples will tie the PDPM to the Requirements of Participation.
Relevancy of Therapy Under PDPM: Amy Phipps and Emily Rampmaier, both of Reliant Rehabilitation

The Patient Driven Payment Model (PDPM) shifts from payment based on quantity of skilled treatments provided to predictive payments based on clinical characteristics. Tracking of therapy minutes are distinctly different, and although providers have been cautioned to avoid change in service delivery, the profession predicts this is inevitable. This session will cover the continued relevance of therapy under PDPM, potential areas for a “healthy” change in behavior and a collaborative role for successful outcomes.

Provider Panel
A panel of peers from the facility and corporate level will provide insight into the changes they’re making within their organizations to prepare for and succeed under PDPM.
Bonus Session: Reducing Hospital Readmissions: Claudia Reingruber, CPA, and Danielle Rainey, Saltmarch, Cleveland & Gund
CMS has implemented a 2% rate reduction to all providers, resulting in a $2 billion savings over 10 years. Providers who do well with reducing hospital readmissions can earn their revenue share back and then some. Attendees will learn what steps to take to improve their readmission score and maximize their Medicare revenue.

Locations

Tallahassee

January 24, 2019
Florida Health Care Association Education and Training Center
307 West Park Avenue
Tallahassee, FL 32301
Parking is complimentary

Hotel: DoubleTree by Hilton
For Reservations: (850) 224-5000
Room Rate: $179
Room Block Cut-Off: December 31, 2018

Tampa

January 25, 2019
The Westshore Grand, a Tribute Portfolio Hotel, Tampa
4860 W. Kennedy Boulevard
Tampa, FL 33609

For Reservations: (813) 286-4400
Room rate: $169
Self-parking is complimentary
Room Block Cut Off: January 2, 2019

Fort Lauderdale

January 31, 2019
Fort Lauderdale Marriott North
6650 North Andrews Avenue
Fort Lauderdale, FL 33309

For Reservations: (954) 771-0440
Room rate: $219
Self-parking is complimentary
Room Block Cutoff: December 27, 2018

Orlando/Lake Mary

February 1, 2019
The Westin Lake Mary
2974 International Parkway
Lake Mary, FL 32746

For Reservations: (407) 531-3555
Room rate: $154
Self-parking is complimentary
Room Block Cut Off: January 9, 2019

Continuing Education

Approved for Six (6) hours of continuing education – Provider Number 50-720: Florida Board of Nursing Home Administrators, Florida Board of Nursing, Florida Board of Clinical Social Work and the Florida Board of Occupational Therapy. Contact FHCA at (850) 224-3907 or info@fhca.org with any questions.

Learner Objectives

  • Gain a broad understanding of the new Medicare PDPM and how it is different than the current RUGs model.
  • Learn how the correct MDS and ICD-10 coding is imperative to being adequately reimbursed.
  • Understand how to operationalize new reimbursement changes at the provider level to be successful.
  • Review the importance of contracting and implementing agreements with therapy companies.
  • Cover strategies on how to reduce re-hospitalizations in order to maximize Medicare revenue under value-based purchasing.

Sponsorships

Sponsorship will be available for these seminars. Stay tuned for more information or contact Jenny Early at jearly@fhca.org.