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Transcript of PROGRAM REGISTRATION ZIMMET VIVA LA REIMBURSEMENT! - Viva La R… · The “new republic” will be...

  • Borgataatlantic city, nJaUgUSt 14-15, 2013

    Meeting: Salon B

    (866) 692-6742

    regiStration Fee*2 Day Program

    $675 per attendee$75 discount if registration and

    payment is received by April 30, 2013

    * Registration fee includes continental breakfast and lunch for both days, but does not include hotel. Contact hotel directly. Cut-off for discounted room block is July 20, 2013. Ask for "Zimmet" room block. Group Code: GBZHS13


    Title: Kosher Meal

    SNF / Organization:

    Mailing Address:

    Telephone: x











    tHe generalS:

    Marc Zimmet, ZHSG

    Sheryl Rosenfield, ZHSG

    Michael Sciacca, ZHSG

    Sheila Lambowitz, ZHSG

    Barbara Griffin, ZHSG

    Steven Littlehale, EVP, PointRight, Inc.

    Jay Gormey, VP, Metropolitan Jewish

    Send ForM and PayMent to:Zimmet Healthcare Services group, llc

    4006 Route 9 South, Morganville, NJ 07751Phone: (877) SNF-2001 Fax: (732) 970-0736

    register online at

    cancellation Policy:90% refund if canceled >7 days prior to program, 25% refund if cancelled within 1 week of program.

    No confirmation will be sent.

    This program has been submitted for 12 CE clock hours from the NCE Review Service of NAB Examiners.

    Schedule is subject to change.

    Zimmet Healthcare is a full service consulting

    firm committed to developing innovative solutions

    to the challenges of operating in the SNF

    industry. ZHSG services over 1,000 SNFs and

    related companies nationwide in matters relating

    to reimbursement, compliance, operations and

    strategic planning.

  • Like late 18th century France, the skilled nursing facility industry is undergoing a dramatic and far-reaching revolution that will forever alter our business model. Fee-for-service reimbursement is slowly but surely being replaced by quality-driven systems, managed care and episodic payment.

    This will be a challenging and potentially dangerous transition. However, unlike the French commoners of that era, providers cannot “revolt” against the Medicare and Medicaid programs. Instead, progressive operators must recognize the opportunities presented by this changing environment.

    The metaphoric “Storming of the Bastille” will be led by providers that embrace this evolution. The “new republic” will be built on sophisticated data compilation and analysis, clinical quality improvement initiatives, and demonstrated value. Just as the French Revolution lead to a “Civil Constitution,” government and private payers are promoting new systems that more equitably distribute funds to quality providers.

    Meanwhile, the existing payment “monarchy” continues to challenge us with changing assessment, reporting and billing requirements that demand vigilant attention to maintain the integrity of our reimbursement compliance.

    Complicating our “March on Versailles” is the ever-escalating state and federal audit initiatives which siphon limited resources that should be deployed to improving quality within our organizations.

    This dynamic two-day program is designed to provide the tools and resources necessary to meet these challenges and successfully transition to the new period of our industry’s “Enlightenment.”

    WedneSday: day 1

    reiMBUrSeMent / regUlatory UPdate9:00aM – 12:00PM

    This session will provide a comprehensive analysis of recent developments impacting SNF reimbursement and compliance. The 2013 MedPAC Report, OIG Workplan and Medicare Trustees Report will be discussed. The 2014 PPS Final Rule will be reviewed in detail, as presenters provide practical strategies for managing these changes.



    data driven SolUtionS to today’SQUalitative cHallengeS

    1:00PM – 2:30PMThe consistent thread in today’s healthcare challenges is the enhanced requirement of data reporting and the benefits of data analytics. To remain competitive, SNFs must master QAPI, reduce hospitalizations, and satisfy new compliance requirements. This will not be possible without the identification, manipulation and analysis of your data. This practical session will leave you “souriant” (smiling) with an action plan for success.

    PreSenting yoUr data(aNd Vous Faire Belle )

    2:45PM – 3:15PMThis session builds upon the prior program and provides a foundation for marketing your facility to hospitals and insurance companies, specific to data presentation for optimal results. You will learn important benchmarking techniques and review avant garde marketing material designed to build your brand with referring providers and payers.

    Managing tHe “doUBle Standard”: Federal v. State aUdit initiativeS

    3:15PM – 4:30PMSNFs are being forced to manage a host of audit initiatives from Medicare and Medicaid. While both the Federal PPS and State CMI systems use the MDS to adjust “acuity-based” payment, there are many inconsistencies among the government and their third party auditors. This program will review recent audit activity and offer strategies to successfully manage differing requirements to ensure your process is efficient, compliant and effective.

    Wine & cHeeSe WitH exHiBitorS 4:30PM

    tHUrSday: day 2

    advanced tHeraPy ManageMent (“atM”) For Managed care & HealtHcare reForM

    9:00aM – 10:00aMRUGs and HCPCS may soon lose their place as the primary therapy payment methodologies. As managed care, bundled payment, and ACOs increase penetration into SNFs, providers will require new tools to monitor and measure performance. This program will offer strategies for preparing for these changes, including utilization control, outcomes compilation and benchmarking, developing “episodic” data, and more.

    avoiding tHeraPy coding loSSeS 10:00aM – 10:30aM

    Medicare Part B therapy billing has become far more complex, with many special modifiers, codes and “edits” that can negatively impact payment. This trend, coupled with the recently enhanced Multiple Procedure Payment Reduction, can result in a therapy program that negatively impacts your bottom line. Presenters will fully explain these billing risks, and offer practical solutions to get the most from your Part B therapy program.

    tHe long-terM viSion For long-terM care 10:45aM – 12:00PM

    This session will examine various demonstrations and initiatives currently under development by CMS.

    road to Managed care 1:00PM – 2:00PM

    There are currently dozens of managed care initiatives taking root throughout the country. This session will provide an in-depth analysis of the programs that will directly impact the SNF industry, including Medicaid long-term care, ISNPs, and Fully Integrated Dual Advantage plans.

    BUndling in tHe Private inSUrance Market2:00PM – 2:30PM

    This session will examine Bundling demonstrations currently active in the national private insurance market. These models incorporate SNFs as post-acute “downstream” partners. The presenters will discuss early challenges and opportunities for providers, and offer insight into how the results will shape the future of the Medicare program.

    iSnP analySiS: iS tHe PrograM rigHt For Me?

    2:45PM – 4:30PM

    The Institutional Special Needs Plan (“ISNP”) is a rapidly growing Medicare Advantage program exclusive to care management of long-term care SNF residents. This session will demystify the ISNP financial/payment model (including “shared savings” calculations) and offer an explicit roadmap for determining the potential financial implications for your facility of contracting with a qualifying plan.

    viva la reiMBUrSeMent! Zimmet Healthcare Services group,