An HCPro Encore Presentation: RUGs 53
Product Description:
AUDIOCONFERENCE ON TAPE
sponsored by PPS Alert for Long-Term Care
presented on February 9, 2006
We have rebroadcast a best-selling audioconference to give nursing home staff a second chance to understand the new payment categories from the SNF PPS final rule. Here's what a few of your peers said about the original program:
- "Presenter was great!"
"Excellent use of examples."
"Ron's presentation was clear and to the point. The MDS coordinators listening to the program were satisfied."
"Cleared the confusion!"
"I thought the program was very concise and easy to follow. Great suggestions were given from the speaker, such as the ARD form to be able to pick the best reference date."
RUG refinements could mean a $10 loss per resident per day in your SNF! Let us help you 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.
During the 90-minute encore presentation of the audioconference RUGs 53: Navigating the New Payment Categories from the SNF PPS Final Rule, expert Ron Orth, RN, NHA, RAC-C, outlines some important strategies for success. He introduces you to the nine new RUG categories and provides a thorough explanation of 5.20 grouper logic, as well as a transitional plan between the 44 RUG grouper and 53 RUG grouper. You'll also get 2 FREE tools: a RUG Case Mix Maximization Reference tool and a ARD Selector Worksheet. It's a program you can't afford to miss—here's your second chance to purchase a tape or CD.
AGENDA
- Why RUG refinements?
- 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
- Describe how new RUG categories are obtained.
- List how the 5.20 RUG grouper will assign RUG scores for billing purposes.
- Define the impact of the ARD on RUG assignment.
- Describe the impact of ADL coding and capture of preadmission services on the MDS.
- Identify the CMS transition plan between the 44 and 53 RUG PPS Systems.
Tools
- RUG Case Mix Maximization Reference tool
- 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, administrators, DONs, business office managers, corporate level positions, and finance staff.
PROGRAM MATERIALS:
Program materials will be provided with PDF links.
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