Education | Events

RAI Clinical Reimbursement & Analytics Program

RAI Clinical Reimbursement & Analytics Program

February 24-26, 2026

FHCA's RAI Clinical Reimbursement & Analytics Program focuses on resident assessment, restorative care, person-centered care planning and quality metrics through clinical reimbursement. Two trainings are offered through this program, the 18-hour Full Program and the 12-hour Executive Program, which omits the item-by-item coding review day.

The Full RAI Clinical Reimbursement & Analytics Program is an 18-hour training program that will support participants to learn and/or enhance their skills and improve quality outcomes. Attendees will benefit from an understanding of individualized resident-centered evaluation and assessment through knowledge of integrating the RAI process into the day-to-day care and services applied to each resident. The Full Program is geared toward the entire interdisciplinary team, including Administrators and AITs, Nurse Administrators/Directors of Nursing, MDS Coordinators and regional/corporate team members.

The Executive RAI Clinical Reimbursement & Analytics Program will focus on the OBRA RAI requirements, integrate understanding of the Quality Measures, Five Star, CMS MDS/Staffing Focused Survey, the Medicare Prospective Payment System and Consolidated Billing. This program offers 12-hours of continuing education credits contained within the three-day Full Program, omitting the item-by-item coding review day. Participants will gain the knowledge to understand processes and, ultimately, to inspect what they expect while managing their facility programs. This also includes a review of the Florida Medicaid Prospective Payment Program. The Executive Program will take place on Tuesday and Wednesday. Participants will not receive the endorsement examination.

Continuing Education

  • The Full Program will offer a total of 18 live, in-person continuing education credits.
  • The Executive Program will offer a total of 12 live, in-person continuing education credits.
  • Training Dates: The Full Program will take place February 24-26, 2026. The Executive Program will take place February 24-25, 2026.
  • Training Location: Homewood Suites by Hilton, 2061 Griffin Road in Dania Beach, Florida.
  • Continuing Education Credits: FHCA will post contact hours to CE Broker by March 20, 2026.

Certificate/Endorsement Exam

  • Upon completion of the 18-hour Full Program, attendees will receive an endorsement exam to demonstrate their competency of the training. The exam will be proctored by RB Health Partners, Inc. 
  • Upon receiving a passing score, attendees will receive a certificate for successful completion. 
  • For questions about the exam or certificate, contact education@rbhealthpartners.com.

Meet the Speakers

  • Robin A. Bleier, RN, HCRM, President, Healthcare Consultant
  • Nathan J. Shaw, RN, BSN, MBA, HCRM, RAC-CTA, Vice President of Clinical Reimbursement & Analytics
  • Katie S. Slier, RN, BSN, RAC-MTA, RAC-MT, Sr. Director of Clinical Reimbursement & Analytics
  • Carolyn Streaker, RN, BSN, MSN, RAC-CTA, Director of Clinical Reimbursement & Analytics
  • Veronica M. Walker, RN-BC, BSHCM, RAC-CTA, Manager of Clinical Services

Read more about these presenters.

Event Agenda

Registration

8:00 a.m. to 9:00 a.m.

Program Per Day

9:00 a.m. to 4:15 p.m.

Day 1

Module 1 - RAI Overview

  1. RAI Specifics (3 hours)
    1. History
    2. Federal Regulations 
    3. RAI Process
    4. OBRA Scheduling
  2. Care Plans (2 hours)
    1. Baseline Care Plans
    2. Care Area Assessment (CAA) Process
    3. Comprehensive Care Plans
  3. Restorative Care (1 hour)

Day 2

Module 2 - Clinical Reimbursement & Analytics

  1. Medicare (3 hours)
    1. Technical Requirements
    2. PDPM
    3. PPS Assessment Schedule
    4. Compliance    
  2. Florida Medicaid PPS (1 hour)
  3. Analytics (2 hours)
    1. Quality Measures
    2. Five-Star
    3. SNF Quality Reporting Program (SNF QRP)
    4. SNF Value-Based Purchasing Program (SNF VBP)

Day 3

Module 3 - MDS Item Coding and Corrections

  1. Select MDS Item Coding (5 Hours)
  2. Correction to MDS Assessments (1 Hour)