Not for Profit

2018 AHCA/NCAL Annual Convention

NFP-1 - How to Become a High-Performing Organization

Tuesday, October 9
2:15 PM - 3:15 PM
CE: NAB: 1 | Nurses 1

As health care reform reaches the SNF setting, nursing home operations will undergo many changes, and showing value and improved quality will likely drive future revenue programs. In January 2015, Centers for Medicare and Medicaid Services (CMS) announced that it would like 90 percent of all traditional Medicare payments to shift to a quality-based model by 2018. We will review the four current and future reporting programs and break down areas of measurement. Learn how to improve your facility’s standings and monitor facility rankings to be proactive in improving your value to CMS and other payers.

Learning Objectives:

Maureen McCarthy, RN, BS, RAC-MT, QCP-MT, DNS-CT

President/CEO
Celtic Consulting

Maureen is the President of Celtic Consulting, LLC and the CEO and founder of Care Transitions, LLP; a post discharge care management service provider.
She has been a registered nurse for 30 years with experience as an MDS Coordinator, director of nursing, rehab director and a Medicare biller. She is a recognized leader and expert in clinical reimbursement in the skilled nursing facility environment; She is the immediate past-president for the Association of Long Term Care Financial Managers, is the Medicare & MDS 3.0 Advisor for Connecticut Association of Health Care Facilities (CAHCF), and is an advisor to the J13 Medicare contractor National Government Services Provider Advisory Group. She is also an Editorial Advisor for HCPro, a national publisher for post-acute care providers, as well as an advisor to the New York State Healthcare Facilities Association. She is a board member of American Association of Post-Acute Nurses and is both an Expert Advisory Panel member and Master Teacher for AANAC and AADNS. McCarthy recently recieved the 2018 ACHCA Education Award, presented at the ACHCA Annual Convocation and Exposition in Orlando, FL.
Maureen and her associates at Celtic Consulting regularly provide consultation focusing on 5-Star Quality Improvement Programs, Quality Auditing, Clinical Care Management, RCS/PPS/MDS/CMI Services, Compliance Solutions including Medicare Compliance Auditing and Custom Education to meet any organization’s needs.
Publications authored by McCarthy include:
• The Long Term Care Compliance Toolkit (2011)
• ICD-10 Compliance Process Improvement and Maintenance for LTC (2015)
• Medicare Audits: A Survival Guide for SNF (2016)
• 5-Star Quality Rating System Technical Users Guide (2017)
• A fifth publication on Medication Reconciliation due out in Fall of 2018

Presentation(s):

Send Email for Maureen McCarthy


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