MDS ACADEMY OF EXCELLENCE
Invest in MDS and invest in the success of your facility.

Part 3   |   July 12th, 12:00 - 2:00    
Managed Care and Case Mix Management

Managing Managed Care

• Insurance reimbursement
• Updates to Case Manager

Case Mix Management

• Medicaid payment calculations
• Reading and interpreting case mix reports
• Case Mix Management
  • Tracking case mix
  • Proactive reviews

JENNIFER NAPIER, BSN, RN, RAC-CT, RAC-CTA, QCP

Jennifer Napier is a Registered Nurse who has devoted her career to the long-term-care industry.  She has a passion for sharing her valuable expertise to customers, clinicians and peers specific to post-acute care, reimbursement, and SNF regulations in order to help others grow and thrive in the industry.
 
With over 17 years of experience, Jennifer’s expertise includes CMS quality initiatives, regulatory compliance, MDS coding, billing and reimbursement accuracy, Restorative Nursing, QAPI, 5-star rating improvement, facility leadership and operational development, clinical program development, managing audits and appeals, and previously served in the role of Regional Director of Clinical Reimbursement.  Jennifer currently holds multiple certifications from AAPACN including RAC-CT, RAC-CTA, and QCP (QAPI Certified Professional). 
 
As the Director of Clinical Consulting with Engage Consulting, Jennifer works closely with each partner to uncover new opportunities and obstacles and bring strategy, insights, and resources to help partners achieve a new level of excellence.

TAMMY CASSIDY, RN, BSN, BC, LNHA, RAC-MT

Tammy Cassidy is a Registered nurse with over 28 years of experience in long term care, specializing in MDS and clinical quality.  She is also a Licensed Nursing Home Administrator and former CMS DAVE2 surveyor.  Tammy understands not only the clinical quality aspect of long-term care, but is also a valuable regulatory, risk management, and financial asset for your organization.   She is frequent speaker offering education for many organizations including the Ohio Health Care Association, Leading Age, The Academy of Senior Health Sciences, and the American College of Health Care Administrators on topics related to clinical quality, risk management, and reimbursement.  She is the proud recipient of the 2017 ACHCA Educator of the Year award. She is a master teacher with the American Association of Post-Acute Care Nurses (AAPACN) for the Resident Assessment Coordinator certification course.

DAVE2, or the Data Assessment and Verification program, was a national initiative of CMS with a primary focus to assure accuracy and reliability of Minimum Data Set (MDS) data, as this data drives the Medicare Part A payment, publicly reported quality measures, and in some states, Medicaid case mix payment systems.