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COVID Finance and Reimbursement

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  • PRF Reporting Requirements – Updated with HHS FAQs, November 23

    Contains 1 Component(s)

    In this latest edition of AHCA/NCAL’s PRF Reporting education, member experts review the most up-to-date reporting requirements available as well as case examples.  Members should use the information contained in this webex and update any work conducted based on earlier guidance.  

    Meet the Speakers:

    Mike Cheek, Senior Vice President, Reimbursement Policy & Market Strategy

    Betsy Rust, AHCA/NCAL Board; Partner, CPA, Plante Moran

    This webinar is available to AHCA/NCAL members only. 
    How to Register: 
    • To avoid technical problems, use Google Chrome. 
    • Members will need to log in using their existing AHCA/NCAL username and password first. 
    • Once you are logged in to the website you will be able to register by clicking the green register button at the top of the page. 
    • If you have forgotten your password click here
    • If you are new to the site, you can create an account here. Answer all fields on the create an account page- especially locating your company name. You can search by name or zip code. After creating an account, you will be able to register for the webinar. 

    Need further assistance? Email educate@ahca.org

  • COVID-19 - Overview of SNF 3-Day Stay and Benefit Period Waivers

    Contains 1 Component(s)

    When there’s a public health emergency (PHE), sections 1135 or 1812(f) of the SSA allow the US Secretary of Health and Human Services (HHS) to issue blanket waivers to help beneficiaries access care.  In response to the declaration of the COVID-19 national PHE, HHS issued a nationwide blanket waiver of the 3-Day Prior Hospitalization and 60-day break in Benefit Period requirements to qualify for SNF Part A benefits effective March 1, 2020.  When a blanket waiver is issued, providers don't have to apply for an individual waiver for the duration of the PHE.  The PHE was recently renewed and will apply till at least January 20, 2021. 

    This webinar will provide a brief overview of the background of these important waivers and will also provide specific details about when and how it would be appropriate for SNFs to apply the waivers to assure that Medicare beneficiaries are able to access skilled SNF Part A benefits in a manner that also minimizes risks for unnecessary exposure or transmission of the COVID-19 virus. Examples of how the 3-Day Stay and Benefit Period waivers can or cannot apply in common situations will be discussed.  Additionally, details related to documentation, MDS assessment scheduling, and claims coding and sequencing requirements specific to these waivers will be reviewed.         

    While providing a general overview of these waivers, the target audience for this webinar includes SNF personnel responsible for making coverage eligibility decisions, as well as MDS scheduling personnel and billing office personnel responsible for assuring compliance with the modified requirements necessary for claims applying these waivers to be properly processed by CMS.     

    This webinar is available to AHCA/NCAL members only.
    How to Register: 
    • To avoid technical problems, use Google Chrome.
    • Members will need to log in using their existing AHCA/NCAL username and password first. 
    • Once you are logged in to the website you will be able to register by clicking the green register button at the top of the page. 
    • If you have forgotten your password click here
    • If you are new to the site, you can create an account here. Answer all fields on the create an account page- especially locating your company name. You can search by name or zip code. After creating an account, you will be able to register for the webinar. 

    Need further assistance? Email educate@ahca.org

    Daniel Ciolek, PT, MS, PMP

    Associate Vice President, Therapy Services, AHCA

    Dan Ciolek is the Associate Vice President of Therapy Advocacy with the American Health Care Association. Mr. Ciolek's clinical and healthcare policy experience spans 30 years. He has practiced as a physical therapist clinician, manager, and business owner in a variety of settings including acute inpatient, inpatient rehabilitation, skilled nursing facility, home health, outpatient, and industrial health. He previously earned the Geriatric Physical Therapy Specialist certification, and is currently a certified Project Management Professional. Before joining AHCA in 2013, Dan served in the Subject Matter Expert and Project Manager capacities in numerous Centers for Medicare and Medicaid contracts. Specific to therapy services, Dan's CMS work has included: national outpatient therapy utilization analysis for PT, OT, and SLP services; medical review; workgroup facilitation; development of policy recommendations; development of Medicare Learning Network and 1-800-Medicare content, and Physician Quality Reporting System reporting enhancements.  Additionally, Dan has contributed to therapy health policy activities at the University, State, Chapter and National levels. These activities included: elected and appointed positions; adjunct faculty/lecturer; author of professional articles; invited speaker; technical expert panelist, and invited contributor of health policy concepts to professional and provider organizations. Dan's advocacy efforts have been recognized through his receipt of two national professional awards for Policy Making and Advocacy for Older Adults. Overall, Dan is recognized as a leading expert in therapy policy and research, including a focus on reimbursement issues. His efforts have contributed directly to numerous Medicare policy changes. 

  • What’s New With The Families First Coronavirus Response Act (FFCRA) and How it Impacts Long Term Care

    Contains 2 Component(s)

     On this webinar, AHCA/NCAL DOL consultants from Jackson Lewis, Craig S. Roberts, Principal, and Henry Shapiro, Associate will answer questions on the FFCRA impacting long-term care.

    DISCLAIMER: This is not intended as legal advice and should not be used as or relied upon as legal advice. It is for general informational purposes only and should not substitute for legal advice. Always seek knowledgeable counsel for advice that is tailored to the actual facts and circumstances and takes into account all relevant law and regulation.

    This webinar is available to AHCA/NCAL members only. 
    How to Register: 
    • Members will need to log in using their existing AHCA/NCAL username and password first. 
    • Once you are logged in to the website you will be able to register by clicking the green register button at the top of the page. 
    • If you have forgotten your password click here
    • If you are new to the site, you can create an account here. Answer all fields on the create an account page- especially locating your company name. You can search by name or zip code. After creating an account, you will be able to register for the webinar. 

    To avoid technical problems, use Google Chrome. 

    Need further assistance? Email educate@ahca.org

  • CMS’s COVID-19 Performance Payment Program

    Contains 1 Component(s) Recorded On: 09/08/2020

    AHCA/NCAL President & CEO Mark Parkinson and CMO David Gifford will review the new rule released on 9/3/2020, discuss resources available to facilities and answer your questions. 

    This webinar is available to AHCA/NCAL members only. 
    How to Register: 
    • Members will need to log in using their existing AHCA/NCAL username and password first. 
    • Once you are logged in to the website you will be able to pre- register by clicking the green register button at the top of the page. 
    • If you have forgotten your password click here
    • If you are new to the site you can create an account here. Answer all fields on the create an account page- especially locating your company name. You can search by name or zip code. After creating an account, you will be able to register for the webinar. 

    To avoid technical problems, use Google Chrome. 

    Need further assistance? Email educate@ahca.org

  • All Member Call with Mark Parkinson: HHS Provider Relief Funds

    Contains 1 Component(s)

    Mark Parkinson and team will provide details on upcoming COVID-relief distributions to SNFs from the Provider Relief Fund. This call is for AHCA/NCAL SNF provider members only.

    How to Register: 

    Members can log in using their existing AHCA/NCAL username and password. Once you are logged in to the website you will be able to register. If you have forgotten your password click here. If you are new to the site you can create an account here. After doing so, you will be able to register for the webinar.

    To avoid technical problems, use Google Chrome. Need further assistance? Email educate@ahca.org

  • AHCA/NCAL Informational Webinar on Economic Impact Payments for Social Security and SSI Beneficiaries with Representative Payees 

    Contains 1 Component(s)

    AHCA/NCAL recently put together a webinar recording on economic impact payments (EIPs) from the Internal Revenue Service (IRS) and important facts for skilled nursing facilities, ICFs/IID, and assisted living centers to know on the use of them.  IRS began issuing electronic EIPs on or about April 15 to people who received a tax refund electronically.  The webinar covers what EIPs are and what steps we should take to protect beneficiaries receiving this benefit.  EIP funds belong to the resident and they make decisions about fund use or may request assistance and guidance (such supports are acceptable).  The recording also covers such areas as whether a resident can give their EIP funds to a family member and what to do if EIP funds are being misused.  Finally, a variety of resources from the Social Security Administration to the National Center on Elder Law and Rights are available at the end of the webinar in which you can find further information that will be of assistance.  If you have any questions around EIPs, please email COVID19@ahca.org.  

  • COVID-19 Telehealth Waivers and AHCA/NCAL Member Experiences

    Contains 1 Component(s)

    Since 2011 skilled nursing facility (SNF), and in some cases assisted living (AL) residents, have only had access to limited telehealth services under Medicare fee-for service. However, with the announcement of the COVID-19 public health emergency (PHE) earlier this year, the U.S. Department of Health and Human Services (HHS) issued several waivers of existing telehealth limits during the PHE under provisions in Section 1135 of the Social Security Act.  Since March 1, 2020, the Centers of Medicare and Medicaid Services (CMS) has removed geographic limits, limits on the type of services and frequencies of physician telehealth visits, limits on telehealth services that non-physician practitioners such as nurse practitioners can furnish, and removed the prohibition on furnishing physician and occupational therapy and speech-language pathology services.  Additionally, relaxation of certain privacy regulations by HHS has permitted an explosion in the use of lower-cost audio-visual technology including smartphones, tablets, and software such as facetime and skype in the delivery of telehealth services.  In this webinar, four AHCA members from independent owners to large multistate for-profit and nonprofit organizations will share their experiences in implementing the COVID-19 telehealth waivers and how they have helped improve care during the PHE.  They will also share their thoughts on which waiver details they would like for AHCA to advocate to CMS, HHS, and Congress to make permanent.

     Presenters:

    • Sarah Schuman, Brookside Inn Post Acute Care & Rehabilitation
    • Deb Bielek, Ensign Services, Inc.
    • Kristen Thrun, Burgess Square Healthcare and Rehab Care
    • Greg Johnson, MD, Sanford Health/Good Samaritan Society
    • Dan Ciolek, American Health Care Association/National Center for Assisted Living     
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