Continuing Education Sessions
Session 25 | Mandatory Compliance and PDPM: Is Your Medicare Team Ready?
Time: (NAB Approved)
Type/Topic: Operations/Quality Improvement
Mandatory Corporate Compliance for skilled nursing centers is here! This session will cover how to: conduct a risk reassessment under the Patient Driven Payment Model (PDPM) tailored to your center; incorporate Hot Spots identified by CMS, OIG, and contract auditors; design internal "data mining" and benchmarks to catch potential issues early; and develop efficient and effective compliance initiatives during a period of significant change. An overview of the 60-day over-payment rule, the potential perils of "TPE" and Unified Program Integrity Contractors (UPIC) audits; and other developments will also be included.
Managing Director, Healthcare Division | Saltmarsh Cleaveland & Gund
About the Presenter
Claudia E. Reingruber, CPA, CHC is a CPA and Certified in Healthcare Compliance. Her career in post-acute care spans more than 35 years, with an emphasis in interdisciplinary education, compliance investigations, financial, clinical and billing audits, dispute advisory services, defense of providers during governmental investigations, representation during appeals of denied claims, and related matters.