Product Detail

1. Evaluate new strategies to manage the documentation required for Skilled Nursing Facilities.
2. Practice coding of the Minimum Data Set (MDS) for key sections to avoid future errors.
3. Demonstrate the essential considerations for OBRA and PPS timing and scheduling.
4. Formulate new approaches to ensure compliance with Medicare intent and reduce audit recoveries.
5. Manage the RAI process through an efficient, yet comprehensive, interdisciplinary approach.
6. Design individualized resident care plans to incorporate unique interventions and approaches to care.
7. Explain how Quality Measures/Quality Indicators can improve facility operations and delivery of care.

Pulling it All Together: Key Documentation Required for SNFs

• Different approaches to comprehensive clinical documentation
• Components of documentation as it relates to the MDS specifically
• What about the “holes” in documentation?
• Strategies to evaluate current documentation practices for gaps

Coding of the MDS: Are You Confident in Your Assessments?

• Appropriate interpretation of the question
• Taking credit for the care delivered - across the interdisciplinary team
• How and when to conduct resident interviews
• The financial impact on reimbursement
• Key sections of the MDS: Demonstration of accurate (and inaccurate) coding

MDS Coding for OBRA and PPS

• Qualifying for a Medicare benefit
• Tips to manage the Medicare stay
• The most common MDS coding errors - and how to avoid them!
• The “normal” PPS schedule - as well as special circumstances
• Considerations when setting the ARD (timing/scheduling)
• Managing the OMBRA schedule - and the impact on reimbursement

Medicare Compliance: The Clinical and Billing Connection

• Calculation of RUGs from the MDS (accounting for acuity)
• HIPPS codes and the impact on payment dates
• How payment dates are determined based on MDS coding
• Implementation of a “Triple Check Process” prior to submission of the UB04
• Strategies to reduce audit recoveries

Managing the RAI Process Requires an Interdisciplinary Approach

• Do you really understand how CATs are triggered?
• Determine root cause of a CAT
• The components of a CAA - and how it links to the care plan

Individualized Care Plans: Achieve the Goal of Person-Centered Care

• Best practice standards
• Learn how critical thinking can be applied to the assessments
• Methods to successfully link it all together:
  • Person-Centered Care, Standards of Practice, Pay-for-Performance, Medicare, and Survey Results

Quality Measures/Quality Indicators: Use the Data to Improve Facility Operations and Delivery of Care

• Prepare yourself….the impact and role of QI/QM in the survey process
• Do you know how to validate the QI/QMs as compared to MDS coding?
• Your QAPI process: Incorporate the QI/QM results for improvement

Daniel Laffery is the Operational Manager of the largest Long-Term Care Consulting firm in Kansas, serving over 150 providers in Kansas and Missouri and more than 4,500 elders. In this position, Daniel has been able to assist providers to analyze a vast variety of "opportunities", such as going from operating in the red to operating in the black, navigating complex survey compliance issues, and RAC audit prevention and reduction of recoupment. He is currently a member of LeadingAge of Kansas, Kansas Health Care Association, and the American Association of Nurse Assessment Coordination, as well as an active Board Member for Kansas Culture Change Coalition. Daniel holds current certification as a Resident Assessment Coordinator through the American Association of Nurse Assessment Coordination. Previously, he served in long-term care as a certified nursing assistant, charge nurse, MDS coordinator, Director of Nursing, and Nurse Consultant. Daniel's expertise has been sought through educational presentations to assist SNF interdisciplinary audiences to optimally understand the complexities associated with the MDS.

Speaker Disclosures:

Financial: Daniel Laffery is the Operation Manager for Sunflower L.T.C. Consultants, LLC. He receives a speaking honorarium from PESI, Inc.

Nonfinancial: Daniel Laffery has no relevant nonfinancial relationship to disclose.

---

CE Information Coming Soon
Continuing education credit information is coming soon for this non-interactive self-study package.

CEs may be available for select professions, as listed in the target audience. Hours will be dependent on the actual recording time. Please check with your state licensing board or organization for specific requirements.

There may be an additional fee for CE certificates. Please contact our Customer Service at 1-800-844-8260 for more details.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

---

Registered Dietitians & Dietetic Technicians

PESI, Inc., PE001, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR) from July 1, 2019 through June 30, 2022. Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 6.0 continuing professional education units (CPEUs) for completion of this program/materials. Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program, or materials. This self-study program/material is designated as LEVEL 2.

---

Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 11/5/2017
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.3 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.3 continuing education credits.

---

Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.25 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.6 contact hours.

---

Speech-Language Pathologists & Audiologists
This course contains 6.0 hours of self-study continuing education. It was not offered for ASHA CEUs. Please retain your certificate of completion. If audited for ASHA Certification Maintenance, you can submit this certificate of completion at that time. For state licensure, teacher certification renewal, or other credential renewal, contact those agencies for information about your reporting responsibilities and requirements.

California Speech-Language Pathologists/Audiologists: PESI, Inc. is an approved provider with the California Speech-Language Pathology and Audiology Board, #PDP 319. This course meets the qualifications for 6.0 hours of self-study continuing professional development credit for Speech-Language Pathologists or Audiologists, as required by the California Speech-Language Pathology and Audiology Board.

---

Social Workers
PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this self-study course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 6.25 Clinical Practice continuing education credits. Course Level: Intermediate. Full attendance is required; no partial credits will be offered for partial attendance. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation.

Canadian Social Workers: PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this self-study course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 6.25 Clinical continuing education credits. Course Level: Intermediate. Full attendance is required; no partial credits will be offered for partial attendance. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation. Canadian provinces may accept activities approved by the ASWB for ongoing professional development.

Illinois Social Workers: PESI, Inc. is an approved provider with the State of Illinois, Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 159-000154. Successful completion of this self-study activity qualifies for 6.0 contact hours.

Minnesota Social Workers: PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This self-study course has been approved for 6.0 continuing education hours. A certificate will be issued upon successful completion of a post-test.

California Social Workers/ Counselors/Marriage & Family Therapists/Licensed Educational Psychologists: The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs. A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.” This intermediate level activity consists of 6.0 clock hours of continuing education instruction.

Florida Social Workers, Marriage & Family Therapists, and Mental Health Counselors: PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This self-study course qualifies for 6.25 continuing education credits.

Ohio Social Workers, Counselors, and Marriage & Family Therapists: PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #: RCST071001. Successful completion of this self-study course meets the qualifications for 6.25 clock hours of continuing education credit.

Pennsylvania Social Workers/Counselors/Marriage & Family Therapists: This intermediate activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation. Full attendance is required, variable credits may not be awarded per the Pennsylvania State Board.

---

Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Registered Dietitians & Dietetic Technicians, Nurses, Nursing Home Administrators, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Social Workers, Speech-Language Pathologists, and other Mental Health Professionals