Deciphering the Audit Alphabet Soup – MAC, RAC, OIG, etc.

  • October 18, 2022
    10:00 am EDT - 11:30 am EDT


Login Credentials Provided to Attendees, Live Online Webinar

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Event Phone: (954) MDS-3-ADL

What You’ll Learn

Audits are frequently conducted to determine if supporting documentation is in place and reimbursement is warranted for care that has been billed. Insurance companies are limiting reimbursement for care in the LTC setting, and the government is auditing to discover whether Medicare or Medicaid monies were over- or under-paid. Nursing facilities need to update the interdisciplinary team’s reimbursement knowledge and documentation skills to meet requirements per regulations. Key to this process is education on the RAI system, requirements of skilled documentation including capturing the highest care levels outlined in PDPM.

This webinar will identify the audits frequently conducted in LTC, explain the focus of various audits, and discuss key documentation systems to survive these reviews. Attendees of this seminar will learn how to:

1) Identify up to 3 types of audits conducted in LTC facilities and the purpose of each
2) Discuss the documentation needed to support skilled care
3) Understand need for monitoring and linking results to facility’s QAPI/QAA program

Our Presenter – Jessica Stucin, RN, BSN, LNHA

Jessica has been a Registered Nurse for over 20 years with a focus on long-term care after starting out in a critical care setting. In addition, Jessica has extensive experience as an MDS Coordinator and recently obtained her Nursing Home Administrator License.

Jessica has held various nursing positions such as clinical staff nurse, charge nurse, assistant director of nursing and Director of Nursing. In 2020, she completed her Bachelor’s in Nursing, and completed the Core of Knowledge in Ohio. Jessica’s expertise is in MDS, care planning, survey process, quality measures, risk management, utilization review, clinical reimbursement and case mix.
Jessica Stucin

Who Is This For?

  • Directors of Nursing
  • MDS Coordinators
  • Administrators
  • Reimbursement Specialists
  • Billing personnel
  • Anyone wanting to learn more about billing and audits

Workshop Details

  • Schedule: 10:00 to 11:30 pm eastern time
  • Access instructions and course materials are emailed