Webinar
Overview
Skilled Nursing Facility Quality Reporting Program (SNF QRP) penalizes facilities each year if less than 90% of the PPS MDSs contain valid responses other than dashes for 100% of the MDS items that impact the SNF QRP Measures directly or as risk adjustments. In addition to the requirement that SNFs must have 100% of the MDS data required for the SNF QRP Measures on at least 90% of the required items, there is an additional requirement that two of the NHSN reporting measures have been 100% compliant. This presentation will explain the APU rules, the money at risk for every Medicare A claim for the following fiscal year, and the actual MDS items that must be assessed and reported (including coding instructions) and the two NHSN reports that must be 100% compliant.
Instructor
Carol Maher, RN, GERO-BC, RAC-MTA, RAC-MT, CPC
Carol Maher is a Board Certified Gerontological Registered Nurse with over 30 years of long term care experience and has worked in long term care in many roles. She worked as the MDS Coordinator in a 300 bed SNF in Pennsylvania for 8 years before moving to CA to become the MDS Coordinator/Director for a 1200 bed SNF in San Francisco. She has also worked as the MDS Coordinator in a SNF that typically had 60-75 residents on Medicare in addition to 160 long-term care residents. Most recently she was the Senior VP of Utilization Services and Director of Reimbursement for large multi-facility organizations.
Carol has worked as one of the Gold Standard nurses for MDS 3.0, serving on the RAP workgroup to prepare the way for the CAAs for MDS 3.0, and participating on a number of Technical Expert Panels related to MDS, Quality Measures and care planning. A sought-after speaker, she has given presentations at AANAC, AHCA and Leading Age national conferences as well as many state organization presentations. She is also a frequent author of articles related to the RAI process and PPS. Carol served as a member of the AANAC Board of Directors for 9 years. She is presently serving as the chair of the AANAC Expert Advisory Panel and as an AANAC Master Teacher of the RAC-CT and RAC-CTA certification courses. Ms. Maher is the Director of Education for Hansen Hunter, providing MDS and Medicare classes across the country, presenting monthly educational webinars and completing compliance audits. She is the author of Long-Term Care MDS Coordinator’s Field Guide (HCPRO 2016).
Credit Hours
- 1.75 NAB hours for Nursing Home Administrators
