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PDPM: Identifying Risk for Audits

Date:
Tuesday, June 7, 2022
Time:
2 PM ET
Duration:
1 hour
 

This October marks three years since the Patient Driven Payment Model (PDPM) was implemented. The Centers for Medicare and Medicaid has announced they are planning to apply a parity adjustment to make it budget neutral from the RUG-IV reimbursement methodology. Reimbursement under PDPM is under a microscope and ensuring accuracy in coding the MDS and having supporting documentation to capture the appropriate reimbursement is more important than ever. Acting now to ensure best practices are in place will help reduce your risk of audits.

Join Relias and Genice Hornberger, RN, Director of Regulatory Affairs at PointClickCare as we look at characteristics that increase a facility’s risk for audit, self-identify areas that place you at increased risk for audit, and look at the value staff training plays in reducing risk.

Learning objectives:

  • Identify facility characteristics that would increase risk for audit
  • Conduct a thorough MDS audit to self-identify increased risk for audit
  • Articulate the value of staff training in reducing risk

Genice Hornberger, RN

Director of Regulatory Affairs
PointClickCare

Genice Hornberger, RN currently serves as Director, Regulatory Affairs – Skilled Nursing at PointClickCare. Genice has been in the long-term post-acute care industry for over 25 years. Prior to joining PointClickCare, she held positions as MDS Coordinator, Director of Nursing, Clinical Reimbursement Manager, and Director of Clinical Informatics. Genice has a passion for using technology to create efficiencies in care delivery and improve clinical outcomes which led her to the product team at PointClickCare. For most of her tenure at PointClickCare, Genice has helped drive the core clinical product roadmap including implementing regulatory changes such as solutions for transitioning to the Patient Driven Payment Model. Most recently, she moved to a role providing regulatory monitoring and oversight which allows her to help advocate for regulatory change for the long-term post-acute care sector. Genice has also been serving on the Board of Directors for the National Association for long-term care for the past 3 years.