AAPACN Licensed Materials*

  1. RAC-CT Certification Program Materials:

     

    MDS 3.0 Coding for OBRA and PPS with Accurately Assessing Function Status

    Content/Slides for Workshop Handout; Medicare Stay End Date Algorithm (A2400C); MDS 3.0 Cue Cards; ADL Self-Performance Algorithm (G0110); NAC-EAP Resolution

     

    OBRA Timing and Scheduling for the MDS 3.0

    Content/Slides for Workshop Handout; Entry, Discharge, and Reentry Algorithms

     

    PPS Timing and Scheduling for the MDS 3.0

    Content/Slides for Workshop Handout; COT OMRA Example 1; Medicare PPS Assessment Schedule

     

    Resource Utilization Groups IV (RUG

    Content/Slides for Workshop Handout; Resource Utilization Groups Version IV – Rural 66 Group PPS Model; Resource Utilization Groups Version IV – Urban 66 Group PPS Model; Medicare Short Stay Assessment Algorithm; The Hierarchy of RUG-IV 66 Classification Eight Major Groups; RUG-IV 66 Group Classification Category Qualifiers; Medicare Short Stay Assessment Algorithm

     

    Introduction to Medicare Part A

    Content/Slides for Workshop Handout; SNF Medicare Benefit Period Flow Chart; Benefit Period Examples; Skilled Rehabilitation Examples; SNF Denial Letter Examples 1 -5; Health Insurance PPS (HIPPS) Codes; Additional Development Request Checklist; Perils and Pitfalls of the MDS/PPS Process Billing

     

    Care Area Assessments and Care Planning and the MDS 3.0

    Content/Slides for Workshop Handout; Ruth Abrams Case Study; Assessment Care Planning Flow Chart; Critical Thinking Case Study; Care Plan Example 1; Interventions Case Study; Communication Case Study; Interdisciplinary Care Plan Conference Record; Time Frames Case Study; Sample “I-Format” Care Plan; Skin Integrity- Before ECP Care Plan, Standard of Care, and After ECP

     

    Quality Measures and the MDS 3.0

    Content/Slides for Workshop Handout; Chapter 1- QM Sample and Record Selection Methodology; Sample Casper Reports: MDS 3.0 Facility Characteristics Report, MDS 3.0 Facility Level Quality Measure Report, MDS 3.0 Resident Level Quality Measure Report

     

     The Five-Star Quality Rating System

    Content/Slides for Workshop Handout; Five-Star Rating Quality Measure Scoring Chart; Quality Improvement Plan

     

  2. RAC-CT Recertification Program Materials:

    Content/Slides for Workshop Handout; Medicare Stay End Date Algorithm A2400C; Medicare Short Stay Assessment Algorithm; COT OMRA Example 1 and 2; Case Study 1-21; Chapter 1: QM Sample and Record Selection Methodology; Sample Casper Reports: MDS 3.0 Facility Characteristics Report, MDS 3.0 Facility Level Quality Measure Report, MDS 3.0 Resident Level Quality Measure Report; Case Studies

     

  3. Medicare University Program Materials:

     

    Medicare in a Skilled Nursing Facility

    Content/Slides for Workshop Handout; Analysis of Common MSP Coverage Situations; SNF Medicare Benefit Period Flow Charts; Benefit Period Scenarios

     

    The Prospective Payment System for Skilled Nursing Facilities

    Content/Slides for Workshop Handout; Entry Tracking Record; Medicare PPS Assessment Schedule

     

    Resource Utilization Groups: Version IV

    Content/Slides for Workshop Handout; Rural 66 Group PPS Model; Urban 66 Group PPS Model; Medicare PPS Assessment Schedule; The Hierarchy of RUG-IV 66 Classification Eight Major Groups; RUG-IV 66 Group Classification Category Qualifiers; Medicare Short Stay Assessment Algorithm

     

    Medicare Part B Rehabilitation Services in a Skilled Nursing Facility

    Content/Slides for Workshop Handout; Common Reasons for Referring Residents for Therapy in a Nursing Facility; Functional Reporting Severity Modifiers

     

    Medical Review in a Skilled Nursing Facility

    Content/Slides for Workshop Handout; PCA Flow Chart; Original Medicare Flow Chart; A/B MAC Jurisdictions; RAC Audit Flow Chart; Recovery Audit Program Improvements

     

    Documentation to Support the Daily Skilled Need

    Content/Slides for Workshop Handout; When Nursing and Therapy Notes Collide; SNF Documentation Case Study: Mrs. Johnson; SNF Document Guidelines

     

    SNF Management Strategies: Putting it all Together

    Content/Slides for Workshop Handout

     

    Skilled Nursing Facility Consolidated Billing

    Content/Slides for Workshop Handout; Major Category Explanations; Transportation Billing Guide; Consolidated Billing Claims Processing Instructions; UB-04 Elements

     

    The Beneficiary Notification Initiative for Skilled Nursing Facilities

    Content/Slides for Workshop Handout; Key Concepts Regarding Liability notices and Resident Appeals Rights; SNF Beneficiary Notice Requirements

     

    CMS Current Initiatives and Preview of Upcoming Events

    Content/Slides for Workshop Handout; 2012-2013 Work Plan; Five-Star Rating Quality Measure Scoring Chart

     

  4. Director of Nursing Services-Certified (DNS-CT) Prep Workshop Program Materials:

     

    Leadership & Management for the Nurse Leader

    Content/Slides for Workshop Handout                   

    Risk Management for the Nurse Leader

    Content/Slides for Workshop Handout

    Quality Assurance and Performance Improvement for the Nurse Leader

    Content/Slides for Workshop Handout

    Human Resource Management for the Nurse Leader

    Content/Slides for Workshop Handout

    Survey Readiness 24/7/365 for the Nurse Leader

    Content/Slides for Workshop Handout

    Survey Management and Enforcement for the Nurse Leader

    Content/Slides for Workshop Handout

    Quality Indicator Survey Essentials for the Nurse Leader

    Content/Slides for Workshop Handout

    Essential Business Skills for the Nurse Leader

    Content/Slides for Workshop Handout

    MDS and Medicare Process Essentials for the Nurse Leader

    Content/Slides for Workshop Handout

    Care Management and Surveillance Systems for the Nurse Leader

    Content/Slides for Workshop Handout

     

  5. QAPI Certified Professional (QCP) Prep Workshop Program Materials:

     

    Design and Scope for Skilled Nursing Facilities

    Content/Slides for Workshop Handout    

    Governance and Leadership for Skilled Nursing Facilities

    Content/Slides for Workshop Handout

    Feedback, Data Systems, and Monitoring for Skilled Nursing Facilities

    Content/Slides for Workshop Handout

    QAPI Performance Improvement Projects for Skilled Nursing Facilities

    Content/Slides for Workshop Handout

    Systematic Analysis and Systemic Action for Skilled Nursing Facilities

    Content/Slides for Workshop Handout

     

     

*License applies to all future updates