Reimbursement- Coding for $$ with Michelle Stober RN, BSN from Senior Care Solutions
Covid hit healthcare soon after the start of PDPM. With the focus on infection control- we may have taken our eyes off of reimbursement. This course will be a refresher on how we get paid in long term care from Medicare (PDPM) and from Medicaid/Private Pay. We will review real case studies to see how coding for diagnosis, section GG and G all impact our reimbursement. This session will give you the big picture view of how we get paid and how to capture the low hanging fruit.
Objectives:
- Participant will be able to describe the basics of Medicare and Medicaid reimbursement
- Participant will demonstrate the necessary requirements for capturing reimbursement
- Participant will verbalize understanding of necessary MDS coding to capture Special Care High Nursing category
Ms.Michelle Stober has over 27 years of experience in post-acute care settings. Michelle’s experience in healthcare includes 17 years as a Nurse Consultant as well as leadership positions in various continuums of care. She has extensive experience in with State and Federal regulations and clinical reimbursement. She has achieved successful results with clinical operations, regulatory compliance, defense LTC litigation and financial reimbursement.