Intensive, hands-on healthcare coding,
Medicare billing and compliance training
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MDS 3.0 Boot Camp: Beyond the BasicsSM

Course Outline

DAY 1
Module 1: Mastering MDS Assessments

  • Types of assessment: OBRA and Medicare
  • Balance the number of assessments required with the number of hours in a day
  • Frequency of assessment process
    • Scheduled assessments
    • Unscheduled assessments
  • Combined assessments
  • Medicare assessment windows and completion rules

Module 2: The MDS 3.0: Your Core Business Tool

  • Conquer the challenges of supporting MDS documentation
  • Uncover problematic coding and communication areas
  • Demonstrate how the interview process can foster patient satisfaction
  • Improve data gathering techniques to ensure MDS integrity
  • Introduce operational enhancements to your MDS process
  • Identify opportunities to expand customer service

DAY 2
Module 2: The MDS 3.0: Your Core Business Tool
(cont.)

Module 3: A Meaningful Approach to the CAA
and Care Plan Process

  • Streamline your CAA and care plan processes
    • Real-time risk factor identification
    • Distributing data capture throughout the assessment process
    • Using tools, evidence-based resources, and worksheets
    • Use your software to accommodate an improved CAA process
  • Complete a CAA
  • Care plan components and requirements

Module 4: Quality Outcomes and Culture Change

  • Quality measurement authority and overview
  • Analyzing outcome reports for linkage to the MDS
  • MDS impact on the survey process
  • MDS impact on the Five-Star Quality Rating System
  • Use the MDS process and outcomes to direct facility culture change
  • Culture change for organizational performance
  • Connecting the customer dots to truly provide person-centered care

Module 5: MDS Team Proficiency and Management

  • Interdisciplinary and team-based approaches and processes
  • Use CQI principles to build your team
  • Build the MDS team
    • Team building from the top down
    • Role of the MDS coordinator
    • The value of a case-mix coordinator
  • Use resource tools that work
    • Team-building case study

DAY 3
Module 6: Connecting Medicare Coverage
Requirements to the MDS and SN F PPS

  • Relating skilled needs and documentation to the MDS process
  • Build communication policy and procedures between the MDS team and the billing team
  • Rate composition and determination
  • Review of categories and reimbursement
    • Short-stay methodology calculation
    • Therapy minutes calculation
    • Impact of ADL coding and process
    • The art of ARD selection
    • Impact of patient interviews and staff communication on reimbursement
  • Ensure that your MDS process and outcomes withstand audit scrutiny
    • Trigger points that may flag an audit or review
    • Ensure that documentation matches the MDS, the medical record, and the care plan

Module 7: Diagnosis Coding and the MDS

  • Determine how to utilize ICD-9-CM diagnosis codes for completion of the MDS, monthly billing, and medical records
  • Introduction to ICD-10

Module 8: Converting the MDS and Clinical Theory
Into Practice

  • Track and prevent the top five hospital readmissions
  • Identify clinical educational opportunities for your IDT
  • Guidelines for clinical assessments of comorbidities
  • Tie clinical pathways into your care planning process
  • Documenting and communicating clinical changes

Module 9: Build Your Action Plan for Process
Improvement

  • Determining and prioritizing goals
  • Establish a timetable
  • Implementation - getting staff buy-in
Q&A


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