PENNSYLVANIA CASE MIX REIMBURSEMENT

  • 13 Nov 2012
  • 10:00 - 13:00
  • Neshaminy Manor 1660 Easton Road Warrington, PA 18976

Registration

  • This is for members of the association.
  • This is for those who would like to attend that are not members at this time.

Registration is closed

This presentation will provide an overview of the PA Medicaid Reimbursement system as it relates to the MDS.  Completing PA specific section S of the MDS will be discussed, as well as the V5.12 – 44 RUG grouper used in the PA CMI calculation. The participant will learn the qualifiers of each category as well as end-splits and the categories that are impacted by them. Calculation of the late loss ADL score and the impact on each RUG category will be reviewed. Steps pertaining to reconciliation of the PA assigned picture dates will be outlined. Peer grouping, cost reports and the whole house CMI will be discussed as it relates to the rate setting process as well.

Presented by Debbie Fein, RN, RAC-CT and Margaret Kirby, RN, RAC-CT

Genesis Health Services

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