The geriatric population is growing exponentially; specialized rehabilitation hospitals must limit their admissions in recent years due to changing legislation; and since the dawn of PPS, it has grown imperative that rehabilitation managers and staff therapists must learn about reimbursement. The majority of skilled nursing home admissions are short-term rehabilitation candidates expecting a high quality of care. Skilled nursing facilities (SNFs) receive their highest level of reimbursement from Medicare admissions, and are constantly seeking new strategies to maximize profits. When combining rehabilitation services with extensive nursing services, SNFs receive the highest level of reimbursement. To be successful in today´s market, a good understanding of the basic concepts of PPS is essential.
This course will equip health care professionals with the tools necessary to master the challenges of PPS. Shelly Mesure, MS, OTR/L, will focus on the key essentials to understanding and managing PPS, utilizing the most up-to-date federal regulations. Various strategies will be discussed to maximize reimbursement, along with a comprehensive understanding of other facility department´s roles. Case scenarios will focus on typical everyday occurrences with an open format to promote group discussion and enhance the learning experience. Excellent resource tools and reference materials will be provided to promote continued learning beyond the date of the course.
WHAT YOU WILL LEARN
- Gain innovative strategies and interventions designed to get the biggest impact for your dollar without sacrificing quality of care
- Increase facility reimbursement through understanding the ins-and-outs of Medicare regulations
- Master your skills as a manager by planning staffing coverage and treatment sessions effectively
- Utilize case studies to gain a more comprehensive insight on all course material that applies to everyday scenarios
- Examine practical application of Medicare reimbursement and the roles of rehab in skilled nursing facilities
- Discover how to set ARD dates without sacrificing reimbursement
- Effectively schedule treatment minutes to maximize RUG categories without sacrificing quality of care
- Discuss the importance of effective communication as part of the inter-disciplinary team
- Examine how to appropriately utilize grace days for capturing the most optimal RUG categories
ABOUT THE SPEAKER
Shelly Mesure, MS, OTR/L, is the Corporate Director of Rehabilitation Services for Brighten Health Group. She has many years of clinical and management experience with various skilled nursing and long-term care facilities throughout Pennsylvania, Illinois, South Carolina and Massachusetts. Ms. Mesure is experienced in maximizing budgets through scheduling proper staffing ratios and planning RUG utilization. Excellence in care is always stressed as the most important part of planning treatment. She continues to develop and implement systems and strategies that can be applied within any rehab department, in any state. Ms. Mesure has developed various clinical programs to enhance training and understanding of the individual needs of the short-term and long-term client.
Ms. Mesure received a BS in Rehabilitation Services with a minor in Gerontology from The Pennsylvania State University and an MS in Occupational Therapy from Rush University in Chicago. As part of her degree program at Penn State, she shadowed a PT, OT and SLP for three months in a skilled nursing facility prior to the implementation of PPS. Whenever possible, Ms. Mesure works as a clinician focusing on providing the highest quality of care to all clients. Ms. Mesure is an enthusiastic, compassionate and engaging speaker who uses clinical cases to facilitate the practical application of all course materials. The case studies presented are real-life examples involving a vast array of scenarios that most clinicians will encounter.
WHAT PEOPLE ARE SAYING
"As an agency therapist, I never really understood the reimbursement side of rehab, but I feel like I can provide more responsible and effective care because of this course." - Tina Azzano, PT
"I appreciated how the material was presented. As a clinician and manager, it´s easy to become overwhelmed with reimbursement, but things seem so much simpler after going through this training." - Jen Boothe, MS, CCC-SLP
WHO SHOULD ATTEND
- Nursing Home Administrators
- Physical Therapists
- Physical Therapy Assistants
- Occupational Therapists
- Certified Occupational Therapy Assistants
- Speech-Language Pathologists
- MDS Coordinators
- Rehab Nurses
- Activities Professionals
- Long-Term Care Staff and Administration
Cross Country Education is an approved provider by the Florida Board of Nursing, provider #50-466. This course is offered for 7.2 contact hours.
Cross Country Education is a Preferred Provider of professional continuing education with the National Association of Boards of Examiners of Long Term Care Administrators (NAB) and has approved this program for the number of clock hours listed under their sponsor agreement with NAB/NCERS. State licensure boards, however, have final authority on the acceptance of individual courses.
Cross Country Education is approved by the California Board of Registered Nursing, Provider #CEP 13345, for 7.2 contact hours.
Cross Country Education is an approved provider with the Iowa Board Of Nursing, approved provider #328. This course is offered for 7.2 contact hours.
Cross Country Education is an approved provider of continuing nursing education by the Tennessee Nurses Association, an accredited approver by the American Nurses Credentialing
Center's Commission on Accreditation. Provider #044013109, this course is offered for 6.0 contact hours.
This program has been submitted to the Illinois Physical Therapy Association for approval of 6 credit hours.
Cross Country Education is an AOTA Approved Provider of continuing education. This course is offered for .6 AOTA CEUs. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. AOTA Educational level Introductory, Category 3: Professional Issues.
This course has been submitted for approval of 6 hours of continuing education to NCCAP.
This program has been submitted to the Kansas Physical Therapy Association for 6 contact hours.
Cross Country Education is approved by the Continuing Education Board of the American Speech-Language-Hearing Association (ASHA) to provide continuing education activities in speech-language pathology and audiology. This program is offered for .6 CEUs (Intermediate level; Related area). ASHA CE Provider approval does not imply endorsement of course content, specific products, or clinical procedures.
This seminar qualifies for 6 continuing education hours as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements.
SEMINAR CLASS TIMES:
Seminar Check-In 7:30 AM Seminar Class 8:00 AM - 3:30 PM