Education | Events
RAI Clinical Reimbursement & Analytics Program
RAI Clinical Reimbursement & Analytics Program
April 2-4, 2025
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 April 2-4, 2025. The Executive Program will take place April 2-3, 2025.
- Training Location: Aston Health - 10150 Highland Manor Drive, #300 in Tampa, Florida.
- Continuing Education Credits: FHCA will post contact hours to CE Broker by May 2, 2025.
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
Wendy G. Martin, RN–BC, RAC-CTA, Director of Clinical Services, RB Health Partner, Inc.
Wendy has worked for more than 25 years in clinical roles with increasing responsibility in the sub-acute and long-term care specialties. Her positions in both direct care resident care and in nursing administration include CNA, Charge Nurse, Clinical Reimbursement Coordinator, ADON, DON, Regional Director of Clinical Reimbursement and Regional Director of Clinical Services. Ms. Davis is currently Director of Clinical Services for RB Health Partners and is available for staff education and other assignments such as clinical program or compliance projects.
Katie Slier, RN, BSN, RAC-CTA, Sr. Director of Clinical Reimbursement, RB Health Partner, Inc.
Katie Slier has specialized as a Resident Assessment Instrument (RAI) consultant for over 8 years and is actively advanced certified as a Resident Assessment Coordinator through AAPACN. Katie brings over a decade of focused practice in acute and long-term care. Katie is excellent in the auditing process, which includes targeted reviews of the Patient Driven Payment Model, Medicaid case-mix in several states, Quality Measures, the Five-Star Quality Rating Program, the Skilled Nursing Facility Quality Reporting Program (SNF QRP), and the SNF Value-Based Purchasing Program (SNF VBP). Katie has been a nurse for over 15 years and received her Bachelor of Science in Nursing from the University of Florida in Gainesville. Her experiences include critical care, trauma, medical-surgical care, and long-term care. She is enthusiastic about staff education, specifically related to the RAI process and Quality Measures.
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 101
- RAI Process, with Federal Regulations, History and Overview (2 hours)
- RAI Specifics (2 hours)
- MDS + OBRA scheduling
- Triggers
- CAAs
Day 2
Module 2 - RAI Intermediate/Restorative
- Medicare/PDPM, Medicaid PPS and Analytics - Medicare/PDPM (3 hours)
- Consolidated Billing, Florida Medicaid PPS, Five Star, Quality Measures, SNF QRP, SNF VBP (3 hours)
Day 3
Module 3 - RAI Intermediate
- Item-by-Item Coding
- Chapter 3 (5 hours)
- Chapter 5 (1 hour)