Session 1 | MDS 3.0 Quality Measures that Impact Five Star Quality Rating on Florida Reimbursement
Day: Monday, August 1 Time: 8:00 to 9:30 a.m. Type/Topic: Clinical/Person-Centered Care Practices
MDS 3.0 Quality Measures (QM) impact the Five Star Rating System, survey and Florida reimbursement. When coded correctly, the MDS 3.0 Quality Measures can identify clinical areas to compare the nursing center's performance against other nursing centers in the state and/or nation. Often, clinical and administrative leaders wonder whether the QM scores reflect MDS errors or clinical opportunities for improvement. This session will explain the MDS questions and coding for each of the measures, exclusions, risk adjustment and the impact on Florida's Medicaid payment system.
Director of Education | Hansen Hunter & Co.
About the Presenter
Carol Maher is a Board certified Gerontological RN with over 30 years of long term care experience. She has worked as an MDS coordinator for large skilled nursing centers and as director of clinical reimbursement and senior vice president of utilization for large skilled nursing facility companies. Carol 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. She is also a frequent author of articles related to the RAI process and PPS. Carol served as a member of the AANAC Board of Directors for nine years. She is presently serving as the immediate past chair of the AANAC Expert Advisory Panel and as an AANAC Master Teacher of the RAC-CT and RAC-CTA certification courses. Carol is the Director of Education for Hansen Hunter & Co.