Compliance & Regulation

  • Behavioral Health and Trauma Informed Care

    Contains 4 Product(s)

    Phase 3 of the RoPs goes into effect on November 28, 2019. AHCA has developed resources to help you navigate the new requirements. This package includes resources applicable to Behavioral Health and Trauma Informed Care.

  • 11th hour PDPM Transition Guide

    Contains 1 Component(s) Includes a Live Event on 08/27/2019 at 3:00 PM (EDT)

    During this 90- minute live webinar, the presenters will discuss how providers can use a concise and downloadable 11th hour PDPM Transition Guide tool we developed to help providers answer these questions over the remaining days leading up to October 1. In addition, the presenters will share important recent PDPM implementation updates from the Centers for Medicare and Medicaid Services (CMS) including: 1) Policy changes and clarifications discussed in the recently published SNF PPS FY 2020 Final Rule, 2) FAQs from the CMS August 8 SNF Open Door Forum call, and 3) Key PDPM-related MDS updates/clarifications discussed in the CMS August 13-14 SNF QRP/MDS/PDPM two-day provider training, and any other billing guidance issued by CMS prior to the webinar. There will be a Q&A period of approximately 30 minutes following the presentation. In addition to the downloadable 11th hour PDPM Transition Guide tool and webinar slides, AHCA will also post an on-demand recording of the live webinar as well as written Q&A responses to all questions submitted shortly after the live webinar.

  • SNF PDPM Basics an Impacts in Care Delivery Partners Toolkit

    Contains 1 Component(s)

    ​Because CMS has provided limited to no guidance to SNF care delivery partners impacted by the PDPM implementation on October 1, AHCA members have asked if we could create a webinar about PDPM that providers could share with referring hospitals, physicians, Medicare Advantage plans, Accountable Care Organizations, and Bundled Payment program partners. To help facilitate AHCA member discussions with care delivery partners about PDPM, we have prepared a one page document that includes links to the following five pre-recorded webinars and slides that are intended to be viewed by SNF care delivery partner to get a better understanding about what PDPM is, and how PDPM may impact their relationships with SNF providers.

  • Competent Geriatric RNs -- The New Driver of Financial Performance

    Contains 1 Component(s)

    Competent geriatric RNs drive quality care and outcomes in LTC settings. PDPM and value-based purchasing also means RNs drive the financial success of a facility. This webinar discusses how the Gero Nurse Prep program increases geriatric care knowledge and prepares RNs to take the ANCC Board certification exam in gerontological nursing. 2019 research findings will be reviewed showing how better trained RNs increase SNF VBP scores, reduce re-hospitalizations and decrease survey citations.

  • CMS PDPM-Related PDPM/MDS/SNF QRP Resources

    Contains 62 Component(s)

    On May 7-8, 2019 and again (with minor updates) on August 13-14, 2019 the Centers for Medicare and Medicaid Services (CMS) conducted a two-day train-the-trainer session on the October 1, 2019 updates to the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP). Examples of agenda items directly relevant to PDPM include: discussions on how to properly code Section GG of the MDS, Changes in Sections A, I, J, and O of the MDS, PDPM: What is changing and what is not, and Integrated coding & PDPM Case Study. This PDPM Academy toolkit includes all available CMS agenda, slides, and video resources related to these training dates. Additionally, this toolkit contains a direct link to the CMS PDPM-Related MDS-RAI Resources webpage containing the most current minimum data set resident assessment instrument (MDS-RAI) manual. Scroll to the bottom of the page and download the file under “Related Links” labeled MDS 3.0 RAI Manual v1.17 October 2019.