Prepare for the Resident Classification System (RCS-1) in 2018

Event Information
Product Format
Prerecorded Event
Marilyn Mines, RN, BC, RAC-CT
60 minutes
Product Description

Identify Educational and Operational Changes to Prepare Your Organization for the Resident Classification System

CMS is investigating new methods of Medicare reimbursement that focus more on resident need for therapy rather than the volume of therapy delivered. The Resident Classification System (RCS-1) is the model that has been researched and published as the potential for the new reimbursement system. Although most of the information available refers to version 1 of this model, if enacted into law, there most likely will be an updated one that will be used.

Join this session with expert speaker Marilyn Mines, RN, BC, RAC-CT, for a summary of the basic concepts of the RCS that will probably be implemented in FY2019. You will learn how to prepare the facility and its staff in anticipation of an RCS for Medicare reimbursement. Marilyn will offer suggestions to start on the educational process and operational changes that will be needed to succeed under this new model.

At the end of this session, you will be able to list the categories that are included in the determination of the CMI. You will also gain knowledge of the changes necessary to the daily operations of your facility. You will learn about MDS requirements, rate declines, ICD-10 codes, and general knowledge regarding accuracy in documentation, which will enlighten you to enable positive financial outcomes.

Session Highlights

  • Various categories that will impact the CMI
  • How the various categories are determined
  • The importance of MDS accuracy, in particular as it relates to diagnoses
  • Education needs of the providers in preparation for the transition
  • Responsibilities of MDS completion to ensure proper reimbursement if obtained

Session Agenda

  • Review advanced notice of proposed rulemaking
  • The need for a new payment methodology
  • Differences between RUGs and RCS-1
  • Limited PPS MDS assessments
  • Readmissions and interrupted stay policy
  • Case-mix vs. non-case mix components
  • PT/OT component
    • How this 3-step process works
    • Primary diagnosis clinical and PT/OT categories
    • PT/OT functional ADL status
    • PT/OT cognitive status
    • Cognitive performance scale and the scoring rules
  • Speech/language pathology
    • Nursing groups and how they work
    • Calculating the ADL score
  • Non-therapy ancillary categories

Who Should Attend

  • Entire interdisciplinary team
  • Management staff

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About Our Speaker

Marilyn Mines - Skilled Nursing Coding  Expert

Marilyn Mines RN, BC, RAC-CT, brings over 40 years of experience as a practicing Registered Nurse to her role as Director of Clinical Services for FR&R. While working with clients, she has been instrumental in preparations for JCAHO, Public Health and Public Aid inspections, and promoting confidence in the direct care of patients, as well as managerial staff.

As an educator and advisor, Marilyn...   More Info
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