Day 4 – April 22

Thursday, April 22, 2021

*All times are listed in Eastern Daylight Time. Conference schedule is subject to change.

Roundtable Discussions – 9 – 9:45 am ET

Are you still looking for answers to your most challenging questions? Join a roundtable discussion focusing on a hot topic or challenge facing the post-acute care industry today. This virtual discussion group will allow you to engage with a subject-matter expert in a face-to-face conversation. Each table can accommodate one host and six attendees, providing you an intimate and productive forum for discussion.

AAPACN 2021 Awards and Education Foundation Scholarships Presentation – 10 – 10:30 am ET

Join us in honoring the nurse heroes of today and the aspiring nurse heroes of tomorrow.

Breakout Sessions – 10:30 – 11:45 am ET

5.1 *NAC/DNS* Keys to Successful Clinical Documentation in a PDPM World

Lynda Jennings, OTR, RAC-CT, The Village at Incarnate Word

As healthcare reimbursement continues to evolve and become more complicated, it is more important than ever that healthcare professionals remain highly skilled in their ability to document a holistic view of the patient, their plan of care, progress, and outcomes. A comprehensive and accurate document is vital to quality patient care and reimbursement. Following this session, you will be able to:

  • Discuss key components related to documentation under the new PDPM reimbursement model
  • Understand the importance of IDT collaboration and communication for MDS completion
  • Describe the key components of skilled clinical documentation
  • Educate the clinician how to provide clear chronological record of the patient’s status
5.2 *NAC* To IPA or Not IPA — A Very Important Question

Carol Maher, RN-BC, RAC-MTA, RAC-MT, RAC-CTA, RAC-CT, CPC, Hansen Hunter & Co

Skilled nursing facilities are missing the opportunity for higher Medicare reimbursement that could be realized by completing optional IPAs, because MDS coordinators and the Medicare teams are not fluent in understanding which resident changes would result in higher PDPM payment if an IPA were completed. PDPM is complex with six different payment components. In this session, we will focus on resident events and services that often increase reimbursement in the nursing and NTA components, providing a better understanding of IPA opportunities. Following this session, you will be able to:

  • Pinpoint which two of the PDPM components provide the highest reimbursement
  • Identify nursing services that provide high utilization and, therefore, higher reimbursement
  • Report the components of the PDPM HIPPS codes and how to identify the nursing case mix group
  • Describe strategies for setting ARDs for IPAs and how the ARD impacts reimbursement  
5.3 *DNS* Trauma Informed Care in a COVID PAC and Beyond

Joel VanEaton, BSN, RN, RAC-CTA MT, and Renee Kinder, M.S. CCC-SLP RAC-CT, both of Broad River Rehab

Understanding trauma informed care is important as it represents an integrated approach to IDT understanding residents holistically. In the current COVID-19 crisis and beyond, IDTs must approach resident assessment with an eye, ear, and heart toward understanding resident specific trauma and how a resident specific experience of trauma may affect the nuance of care planning, goal setting, and outcomes achievement. In this session, you will gain an understanding of how a truly interdisciplinary approach is necessary to a resident oriented outcome driven concept of care that allows past and present trauma to inform specific care pathways. Following this session, you will be able to:

  • Define trauma informed care
  • Recognize the IDT’s role in identifying resident specific trauma
  • Understand individual IDT members role in specific trauma informed care pathway implementation
  • Collaborate with care pathways development related to resident specific trauma information
5.4 *AAPACN* Uncovering Things Missed Under PDPM

Jessie McGill, RN, RAC-MT, AAPACN

In October 2019, our Medicare payment system endured a transition from RUGs to the Patient-Driven Payment Model (PDPM). While we may have expected to wake up in the beautiful world of PDPM, with a simple assessment schedule and a methodology based on resident characteristics—we realized that we may have underestimated all the little nuances that came along with it. With a few other hiccups along the way, namely COVID-19, we may finally have the chance to step back, focus on the details, and see what we missed capturing during the first year of the new payment model. In this session, we will dissect missed opportunities under PDPM and provide tips for repairing and rebuilding systems for more success in the future. Following this session, you will be able to:

  • Compare missed opportunities in section GG coding when documentation is collected from a limited source versus collecting from all available sources
  • Investigate the impact of the depression end-split in the nursing component of PDPM through case-study examples
  • Identify common mistake made when selecting ICD-10-CM codes
  • Illustrate opportunities that can be captured when digging deeper into the medical record, requesting additional records, and querying the physician.
  • Distinguish occasions when restorative nursing can appropriately be initiated and captured under PDPM

Product Theater Sponsored by Sunovion – Noon – 1 pm ET

The First and Only Sublingual, On-Demand Treatment for OFF Episodes in Parkinson’s Disease

Michael J. Soileau, MD

Gather virtually with other conference attendees to learn about new research findings or a product or service that could help create efficiencies in your job. The 60-minute product theaters also offer a chance to win prizes.

ReFOCUS: 2021 CMS Regulartory Updates – 1:15 – 2:45 pm ET

Join AAPACN for our traditional closing session with representatives from the Centers for Medicare and Medicaid Services (CMS). AAPACN is honored to again welcome CMS officials to provide insights on current regulatory challenges and future regulatory initiatives impacting quality and care. Attendees will come away refocused on post-COVID 19 care delivery with guidance directly from regulators.

2021 Update from CMS

Ellen Berry, Health Insurance Specialist, Centers for Medicare and Medicaid Services (CMS)
John Kane, SNF Team Leader, CMS
Evan Shulman, Director, Division of Nursing Homes, CMS

This highly anticipated session can only be attended live; a recording will not be made available after the event.

Evan Shulman, Director, Division of Nursing Homes, CMS
Evan Shulman, Director, Division of Nursing Homes

Plenary ReCAP – 2:50 – 3:15 pm ET

Join us after the Plenary Session to continue the conversation, share your thoughts and feedback, and engage with your peers in a more intimate setting to exchange ideas and best practices.

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