Upcoming Events

Speakers: Marc Zimmet How does the term “Population Health Management” apply to SNF Institutional Special Needs Plans? How do metrics differ? How are outcomes quantified? This session clarifies the variables of the “ISNP Equation” to help SNFs determine if the program is right for their situation.

Speakers: Steven Littlehale / Vincent Fedele Five-Star continues to have a significant impact on “all things healthcare” including financial, and it continues to change. This session identifies the intentional and unintended impacts of Five-Star and provides a clear understanding into recent and anticipated 2020 changes.

Speakers: Marie Infante / Ari Stawis As we race to capture the PDPM payment drivers, we must be aware of the inherent compliance concerns that result. “Access to care” and “inappropriate delivery of care” are concerns that were not abandoned with this new payment model. Also, this session addresses how providers can assure that vendors are not creating compliance concerns for their facility.

Speakers: Marc Zimmet / Vincent Fedele Traditionally we classified nursing home revenue into three buckets: Medicare, Medicaid and “Other.” Now more than ever, that “other” line takes on new meaning. Managed Medicare, APMs, ISNP and other “shared savings” programs offset gains or losses in the traditional revenue centers. This session reviews concepts associated with the next iteration of SNF reimbursement to help providers understand the “new bottom line.”

Speakers: John Fazzio FFS volume is dwindling while alternative payment models (APMs) and other Medicare “products” hit the market. How do they impact budgeting and cost reporting? How do you make sense of these variations across your own portfolio of facilities? This session sheds much needed light on these mysteries and brings a level of confidence in moving forward to embrace these modern day alternatives to payer mix.

Speakers: Sheryl Rosenfield / Robert Gross PDPM is not the only thing that has necessitated a change in work flow for skilled nursing. RoP and Managed Care has also had a hand in changing how we deliver care. This session attempts to make these processes clear, and tie it all together for efficiency.

Speakers: Michael Sciacca An ounce of prevention is worth a pound of cure, but let’s face it…there will be denials. This session reviews how to best prevent denials and the specific steps that you should have in place to manage the appeal process. Ultimately the goal will be to minimize disruption to cash flow, improve inter-departmental processes and documentation, and reduce the volume of denied and rejected claims.

Speakers: Sheryl Rosenfield / Robert Gross Twelve months later, and we’re still here. The challenges didn’t go away despite our mastery of PDPM. CMS has made changes and national patterns have clearly emerged. FAQs will be shared and strategic adjustments will be identified.