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Zimmet Healthcare Services Group, LLC

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January 2019

Webinar Series Facility Subscription 2019

January 1, 2019 - December 31, 2019

Zimmet Healthcare is pleased to announce our 2019 web-based Signature Education Series. The focus this year is Medicare Part A’s Patient-Driven Payment Model (“PDPM”), scheduled for implementation on October 1, 2019. This webinar series will provide a comprehensive approach to PDPM success (with sensitivity to the diverse “local” nature of market-reform), absent the rhetoric, misinformation and “fear factor” distorting the true opportunities PDPM holds for most SNFs. Presenters will discuss structural and operational issues, in addition to new analytics and…

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November 2019

Reimbursement Defense – Auditors are Here to Stay

November 6, 2019 at 1:00 pm - 2:00 pm

Despite systemic change from therapy as payment driver, third-party reimbursement compliance audit risk may intensify under PDPM. Instead of defending Ultra High delivery, we expect auditors to focus on far more dynamic (and objective) payment drivers that will be harder to overturn on appeal. This session will review strategies for maintaining compliance (i.e. accurate documentation) for new risk areas specific to SLP end splits, nursing RUG qualifiers and non-therapy ancillaries.

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December 2019

Next Generation Analytics & Early Benchmarks: Using the UB-04 to Measure PDPM Performance

December 11, 2019 at 1:00 pm - 2:00 pm

The Medicare claim is the new “it” source document for PDPM interventional analytics. The UB-04 contains both the detailed financial and clinical metrics required to quantify quality/value with reliable comparative integrity. Additionally, detailed Component scores, ancillary charges, diagnoses codes and other previously overlooked “fields” enable reimbursement logic testing without the “false positives” generated from other sources. Tune in to this session to identify revenue & outcome opportunities by distilling the subtleties of UB-04 coding patterns, then benchmark your facility’s performance…

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