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Overview and Purpose:
With the implementation of Patient-Driven Payment Model (PDPM) slated for October 1, 2019, diagnosis coding will become even more important. Skilled nursing facility and hospital diagnoses will be reported on the MDS and have major impact on reimbursement. Reinforcing coding skills now will prepare facilities for Clinical Case Mix Groupings assignment under PDPM.
Maureen McCarthy, RN BS RAC-MT QCP-MT DNS-MT RAC-MTA – Celtic Consulting LLC
Maureen McCarthy is the president of Celtic Consulting, LLC, and the chief executive officer and founder of Care Transitions, LLP, a post-discharge care management service provider. Recognized as an industry leader in clinical reimbursement for long-term care, she has been a registered nurse for over 30 years with experience as an MDS coordinator, director of nursing, rehab director and a Medicare biller.
Adding to her numerous recognition and leadership roles, McCarthy was recently presented the ACHCA 2018 Education Award and has been selected to join the American Health Care Association (AHCA) PDPM Academy Training Team, which provides education to the nation’s state affiliates regarding the new PDPM system. McCarthy is certified in the resident assessment process, QAPI and Director of Nursing Services by nationally recognized organizations and holds Master Teacher status in all three certifications.
All long-term care professionals engaged in quality improvement implementation and reporting.
As a result of attending, participants will be able to:
- Review intermediate ICD-10 principles
- Prepare for the transition by learning PDPM components relevant to diagnosis coding
- Explore ‘real world’ coding examples
Brought to you by the Great Plains Quality Innovation Network, the QIN-QIO serving Kansas, Nebraska, North Dakota and South Dakota in partnership with the QIN-QIOs serving Alaska, Colorado, Hawaii, Illinois, Iowa, Minnesota, Michigan, Montana, Nevada, New Mexico, Oregon, Utah, Wisconsin and Wyoming.