Webinar
Overview
CMS has announced the initiation of Data Validation audits to validate MDS accuracy for the SNF QRP and SNF VBP Measures. This is a new audit. CMS will randomly request data for 10 claims from 10% of the SNFs in the nation each year beginning this fall. The Help desk has already been set up and is active. SNFs need to know how to know when their records have been requested. The only notification will be through the iQIES system where the notifications will be placed into provider preview report folders. If the SNF does not submit the requested medical records within 45 days of the notice in the iQIES folder, the SNF will lose their 2% annual Payment Update for every claim for the next fiscal year. The webinar will help SNFs to know how often to review the iQIES report and where in iQIES to find the reports. Also, SNFs must submit the individual resident records via PDF without any Social Security Numbers or face sheets.
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 NAB hours for Nursing Home Administrators