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AUDIOCONFERENCE ON TAPE

presented on January 12, 2006

CMS has revamped SNF PPS with the addition of 9 new RUG categories. The implications of RUGs 53 can't be ignored—the refinements could mean a $10 loss per resident per day in your SNF!

Let us help you get up to speed on the changes and arm yourself with strategies to navigate the new system—and get the reimbursement you deserve.

This year's SNF PPS final rule took effect January 1. In it, you'll find the long-awaited 9 new Resource Utilization Groups (RUGs). These new RUGs were added to take into account residents who need both extensive rehabilitation and nursing services.

Many major long-term care corporations predict a loss of $10 per resident per day as a result of the RUG refinements. What do these new payment categories mean for your facility? And what should you do to ensure proper reimbursement?

During the 90-minute audioconference RUGs 53: Navigating the New Payment Categories from the SNF PPS Final Rule, expert speaker Ron Orth, RN, NHA, RAC-C, will outline some important strategies for success. He will introduce you to the nine new RUG categories and provide a thorough explanation of 5.20 grouper logic, as well as a transitional plan between the 44 RUG grouper and 53 RUG grouper. It's a program you can't afford to miss.

AGENDA

• Why RUG refinement?
• Introduction to 9 new RUG categories
  • Qualifiers
• Overview of case mix maximization
• Introduction to 5.20 grouper logic
• Impact of assessment reference date (ARD) and activities of daily living (ADL) coding on RUG assignment and reimbursement
• CMS transition plan from 44 RUG to 53 RUG system
  • Billing purposes

Learning Objectives

1. Describe how new RUG categories are obtained.
2. List how the 5.20 RUG grouper will assign RUG scores for billing purposes.
3. Define the impact of the ARD on RUG assignment.
4. Describe the impact of ADL coding and capture of preadmission services on the MDS.
5. Identify the CMS transition plan between the 44 and 53 RUG PPS Systems.

Tools

1. RUG Case Mix Maximization Reference tool
2. ARD Selector Worksheet

Purchase a tape or CD of the program and listen when you can. It's a perfect training tool for new staff and an important refresher for veteran staff.

MEET THE SPEAKER:

Ronald Orth, RN, NHA, RAC-C, is the owner and President of Clinical Reimbursement Solutions, LLC. He has more than 20 years experience in the healthcare field, and has spent the past eight years specializing in the area of Medicare SNF Regulations and the PPS reimbursement system. Ron holds an Associate degree in Nursing and a Bachelor's degree in Health Care Administration. He also holds a Nursing Home Administrators license in the State of Arizona. Clinical Reimbursement Solutions offers an array on consulting services in the area of Clinical Reimbursement, for additional information visit www.clinicalreimbursement.com

WHO SHOULD LISTEN

Facility MDS coordinators, rehab staff, LTC administrators, DONs, business office managers, corporate level positions, finance staff.

PROGRAM MATERIALS:

Program materials will be provided with PDF links.

• Audioconferences
• Continuing Education

• Other Long-Term Care Products