Session 14 | Medicaid Prospective Payment System Reimbursement Update
Day: Monday, August 1 Time: 12:15 to 1:15 p.m. Type/Topic: Finance and Reimbursement
This session will focus on the results of the rebasing process for October 2021 rates and what providers can expect from changes due to the 2022 legislative session. Participants will learn how to improve their rates and change their behavior to prepare for the rules that will apply through 2023. Participants will learn the impact of the reduction and eventual elimination of the hold harmless provision and evaluate their current position in relation to a pure Prospective Payment System (PPS) environment. Participants will learn the steps they need to take now to ensure they are prepared to compete in the future.
Senior Healthcare Manager | Moore Stephens Lovelace, P.A.
About the Presenter
Lorne Simmons is a member of the Firm's Senior Housing and Long-Term Care Practice Groups. Lorne has over 30 years of accounting experience, 22 years in senior housing, and health insurance. Before joining Moore Stephens Lovelace, P.A. (MSL), Lorne held positions with Life Care Services (LCS) management company and Blue Cross and Blue Shield of Kansas. Lorne's focus at MSL is on reimbursement consulting, spending reviews and reimbursement rate analyses, cost structuring, cost report preparation, cost report audits, and appeal issues for Medicaid and Medicare reimbursement. He also handles financial statement projections, prospective financial analyses, and Certificate of Need financial forecasts. Lorne is a member of the FHCA Reimbursement Committee and Legislative Committee and has presented staff webinars and training sessions on Florida's Medicaid reimbursement system and 11 previous sessions at FHCA events.