HCAM Staff HCAM Staff HCAM Staff
TitleHCAM Reimbursement Forum 2019
LocationHilton Garden Inn
Address 33 N. Canal Rd.
Lansing, MI 48917
Dates 11/12/2019 to 11/12/2019
Time 7:30 AM to 12:30 PM

Please join us for our first-ever Reimbursement Forum on Tuesday, November 12 at the Hilton Garden Inn in Lansing. This program will provide you with an update on everything you need to know to ensure that you have an operational system for compliance with billing, payments, medical necessity and quality of care in place in your facility.

Reimbursement Update
Presented by Jon Lanczak & Larry Kearney, Plante Moran
This session will look at the changes in current and future Medicare and Medicaid reimbursement systems. On October 1, 2019 Medicare transitioned to the new system called Patient Driven Payment Model (PDPM). We will examine the impact of this new system on facility operations, therapy contracts and payments for Medicare services along with other Medicare concerns with sequestration and Value
Based Purchasing. Medicaid topics will include the latest on the Quality Measure Initiative (QMI), audit and cost reporting timelines enacted with PA 612 of 2018 and related audit issues. The session will also discuss the impact of managed care on facility operations and payments from the Medicare Advantage, Healthy Michigan and MI Health Link programs.

Reimbursement Roundup: Perks and Penalties of Reimbursement Reform
Presented by Sarah Ragone, Core Tactics Inc.

CMS has replaced the Skilled Nursing Facility (SNF) Resource Utilization Group (RUG) payment system with the new Patient Driven Payment Model (PDPM) for Medicare Part A payments. However, it’s more than just PDPM that will be impacting SNF revenue as CMS continues to move steady with their focus on quality;
1) the SNF Quality Reporting Program (QRP) will issue 2 percent payment penalties if facilities are not in compliance with the required MDS coding, and
2) the SNF Value Based Purchasing (VBP) program targeting hospital readmission rates – up to another 2 percent penalty facilities will receive if they are not performing well. This program will provide attendees with a comprehensive overview of these programs/ initiatives, discuss how they can potentially impact revenue for the upcoming fiscal year, present processes to ensure ethical billing practices and review strategies to improve and sustain performance through data collection and Quality Assurance Performance Improvement (QAPI).

This workshop will be held at the Hilton Garden Inn located at 633 N. Canal Rd., Lansing, MI 48917. HCAM secured a limited number of hotel rooms at the discounted group rate of $129++ per night if booked prior to October 15. To reserve your room now, call 517-999-9930 and mention “HCAM.”

7:30 am - Registration Opens
7:30 am - Continental Breakfast
8:00 am - Welcome & Opening Remarks
8:15-10:15 am - Reimbursement Update with Betsy Rust
10:30-12:30 pm - Reimbursement Roundup with Sarah Ragone
12:30 pm - Conclusion of Forum

Continuing Education
Final determination of contact hours will be published in the on-site
program book. NHA: This program has been submitted (but not yet approved)
for Continuing Education for 4 total participant hours from NAB/NCERS.
If you register online for this event, please send an email to KistiBoatright@hcam.org with your NAB Registry ID.

Available Spaces
NHA Credits4
NHA Approval Num.
Fees $150.00 - Member Rate AFTER Oct. 18 Per Person
$250.00 - Non-Member Rate Per Person

Document Bin

  Uploaded Description File
9/27/2019 19 Reimbursement Forum Brochure .pdf (267KB)
Provider Information
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