017-24 - MDS/ Strategic Reimbursement Role Consultation

Wayne County is seeking a consultant to provide educational and supplemental expertise in regards to the MDS related functions for Skilled Nursing Facility. Wayne County Nursing Home is seeking a review/audit of their current operations and is seeking assistance in elevating the level of care and potential reimbursement from CMS through implementing recommendations and changes as a result of the Audit. In addition to, seeking training and additional support in the following topics:

• MDS coding, scheduling, and submission
• General MDS education
• Patient Driven Payment Model (PDPM) methodology, advance strategies and process development
• Quality measures review and  strategy recommendation, Quality Reporting Programs (QRP), Value Based Purchasing (VBP) programs
• Internet Quality Improvement & Evaluation System (iQIES),NY Health Commerce System (HCS), and potential Electronic Medical Record (EMR) integrations
• Medicare A, Part C, Medicaid strategic reimbursements
• Activities of Daily Living (ADL), Point of Care programs
• Certification And Survey Provider Enhanced Reports (CASPER) reporting
• Medicare Administrative Contractor (MAC), Medicare Recovery Audit Contractor (RAC) and NY Office of Medicaid Inspector  General (OMIG) audit
• Clinical denial management 
• Support of onsite staff to cover for vacations of MDS Staff