Successful PPS Scheduling: Receive Optimal Reimbursement while Reducing Default Rates and Provider Liable Days

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PPS Scheduling: Optimal Reimbursement while Reducing Default Rates and Provider Liable Days - On-Demand

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Successful PPS Scheduling: Receive Optimal Reimbursement while Reducing Default Rates and Provider Liable Days - On-Demand

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Available ON-DEMAND

Presented on:
Friday, January 13, 2017 

Presented by:
Carol Maher, RN-BC, RAC-CT 

Level of Program:

Remove the confusion surrounding PPS scheduled and unscheduled assessments accurately to receive optimal reimbursement for services. Understand how to manage the process, including meetings to conduct, tools to implement, and ways to keep everything on track.

In this 90-minute webinar, expert Carol Maher, RN-BC, RAC-CT, will help attendees understand when and why a facility needs to perform PPS assessments and how to choose the assessment reference date (ARD) for each scheduled and unscheduled assessment to prevent payment loss. 

At the conclusion of this program, participants will be able to:

  • Learn how to implement tools that can assist in accurate PPS scheduling
  • Describe how default rate is charged for late PPS scheduling (when payment is going to be affected by late/missed PPS assessments)
  • Define the unscheduled assessments (OMRAs)
  • Understand the payment rules for each of the unscheduled assessments

Who Should Listen?

  • MDS Coordinators
  • Billers
  • Business Office Managers
  • Directors of Nursing
  • Administrators


  • Covering required scheduled PPS assessments and timing for them
    • Preventing default rate by learning the required windows and grace periods for each scheduled assessment.
  • Covering required unscheduled PPS assessments
    • End of therapy OMRAs
    • Start of therapy OMRA
    • End of therapy with resumption
    • Change of therapy OMRA
  • Short-stay assessments
  • Ways to manage the process
    • Meetings
    • Tools
    • How to keep the process on track
  • How census events affect the PPS schedule
    • SNFs


  • Spreadsheet, 100-day tool, to help with scheduling

Meet the Speaker

Carol MaherRN-BC, RAC-CT, is a Board Certified Gerontological Registered Nurse and Certified Professional Coder with over 30 years’ long-term care experience who has worked in long term care in many roles.  Beginning as a nursing assistant, she later became a charge nurse, Nurse Manager and then RNAC.  Most recently she was the Senior VP of Utilization Services and Director of Reimbursement for large multi-facility organizations.  She has worked as one of the Gold Standard nurses for MDS 3.0, serving on the RAP workgroup to prepare the way for the CAAs for MDS 3.0, and participating on a number of Technical Expert Panels related to MDS, Quality Measures and care planning.  A sought after speaker, she has given presentations at AANAC, AHCA and Leading Age national conferences as well as many state organization presentations.  She is also a frequent author of articles related to the RAI process and PPS and is the author of Long-Term Care MDS Coordinator’s Field Guide (HCPro).  Carol served on the AANAC Board of Directors for 9 years.  She is presently a member of the AANAC Expert Advisory Panel and is an AANAC Master Teacher.  Ms. Maher is the Director of Education for Hansen Hunter & Co. where she provides MDS and Medicare education classes and consultation, ICD-10 classes, monthly webinars and completes compliance audits.

Webinar system requirements and program materials: 

To fully benefit from the webinar experience, please note you will need a computer equipped with the following: 

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

No problem. The On-Demand version is now available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $199 value! 

Participation in the webinar is just $199 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email if you have questions.