ACOs and Bundling: The New Dating Game - On-Demand

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ACOs and Bundling: The New Dating Game - On-Demand

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ACOs and Bundling: The New Dating Game - On-Demand

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Available ON-DEMAND.

Presented on:
Tuesday, August 30, 2016

Presented by:
Maureen McCarthy, RN, BS, RAC-MT, CQP

Welcome to the new dating game. In recent years, the skilled nursing reimbursement system has continually evolved, and to find a suitable partner, you must now develop an appealing profile. In the new ACO payment system, it’s vital to know which skills are most valuable and how diagnosis coding can affect relationships with potential “suitors.”

During this program, expert speaker Maureen McCarthy, RN, BS, RAC-MT, CQP, will show you how to prepare for the shift from resource utilization to quality and value. McCarthy will explain the new MDS sections and how they figure into your facility’s reimbursement, as well as how they address the IMPACT Act of 2014. She will also give tips on how to improve quality standings. 

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

  • Prepare for the shift from resource utilization to quality and value 
  • Improve quality standings as well as their “dating” profile 
  • Understand the ins and outs of the new MDS sections and how they affect reimbursement 
  • Understand which skills will be most valuable in the new system 


  • What potential “suitors” are looking for in partners 
    • How does staff longevity play into partnerships? 
    • Impact of the 5-star rating system on partnerships 
  • Shifting from PPS to value and quality—how and why the shift takes place 
    • Monitoring quality through QM and other CASPER reports 
  • New MDS sections—how they play into reimbursement and the IMPACT Act of 2014 
    • What effect will discharge performance level have on future rehab potential? 
    • When does the "end of Medicare assessment" have to do with quality, and how does it differ from A2400C, "end of Medicare stay"? 
  • How diagnosis coding can affect relationships 
    • Identifying chronic conditions and comorbidities will become a valuable risk factor. How is your diagnosis coding happening now? 
  • What skills will be most valuable in the new system 
    • Physical assessment skills will be crucial for recognizing a potential change in condition and may impact the ability to identify the root cause 
  • Q&A (not live) 

Who Should Attend 

  • MDS coordinators 
  • Administrators 
  • DNS 
  • Nurse managers 
  • Billers 
  • Episode initiators 
  • Case managers 
  • DON 
  • Staff coordinators 
  • Nurse 
  • Activities coordinators 
  • Directors of operations


CMS Drafts of New MDS Sections 

Meet the Speaker 

Maureen McCarthy, RN, BS, RAC-MT, CQP, is president of Celtic Consulting, LLC, and CEO and founder of Care Transitions, LLP, a care coordination service provider. She is also the creator of the McCarthy Method, a documentation improvement system for ADL coding. She and her associates at Celtic Consulting educate and train on ICD-10 transitioning and coding for skilled nursing facilities (SNF), state affiliates, and provider organizations.

McCarthy has been a registered nurse for 30 years with experience as an MDS coordinator, director of nursing, rehab director, and Medicare specialist. She is a recognized leader and expert in clinical reimbursement in the SNF environment. Currently, she is the president for the Association of Long Term Care Financial Managers; the Medicare and MDS 3.0 advisor for the Connecticut Association of Health Care Facilities; and an advisor to the J13 Medicare contractor National Government Services Provider Advisory Group. McCarthy is an advisor to the New York State Health Facilities Association on the Nursing Leadership Committee, as well as the Payment for Services Group. She is also an editorial advisor for HCPro.

McCarthy is certified in the resident assessment process and Quality Assurance and Performance Improvement by nationally recognized organizations and holds Master Teacher status with AANAC. She holds a degree in business management as well as a nursing degree. She released her first co-authored publication, The Long-Term Care Compliance Toolkit, in September 2011; in June 2015, she followed it with ICD-10 Compliance: Process Improvement and Maintenance for LTC. A third publication on Medicare compliance is scheduled for this fall. 

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 also 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.