Webinar
Overview
This program impacts Medicare payment based on a single quality Measure for FY2025. However, the SNF PPS Final Rule for FY2024 reported that the program will expand within the next few years (timelines have been specified) to include at least 5 more QMs. FY2026 will include 4 Measures: All Cause SNF Readmission Measure, SNF Healthcare Acquired Infection Measure, Total Nurse Staffing per resident day, and the total nurse turnover measure. The SNF VBP program takes 2% of Medicare income from all Medicare SNFs and incentivizes them to earn back a portion or all of that 2% by performing higher than other SNFs in the nation on the specified Quality Measure (presently an all-cause readmission to the hospital during the first 30 days of the SNF stay measure).
The specifics of this year’s measure and payment implications (performance and improvement measurements impacting payment) will be covered. The newly approved measures that will begin data collection now and will impact the SNF VBP program for the next few years will also be reviewed. This program will review the SNF VBP basics plus the specific measures and how to find and determine the SNF’s incentive multiplier and its impact on Medicare payment for the following fiscal year.
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