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Specific Operational and Clinical Tasks to Support Quality Services and Accurate Payment

DATE: Friday, September 17, 2021
Noon – 1 p.m. CST

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Operational and Clinical leadership must begin a coordinated focus on Compliance, Outcome Reporting and Payment Accuracy. Each of these focus areas bring enhanced risk because of the focus of CMS analytics and review activity.

This session will discuss the approach of audit activity, additional documentation requests and coordinated survey and data review by CMS and contractors. The content will focus on simple audit and data review tasks that highlight high risk data reporting. Case examples and specific audit activities will be discussed. A fast paced interactive learning experience for senior managers and corporate compliance professionals explaining effective practical approaches to data formulation, accuracy and analytics.

Join this webinar to:

  • Review most common payment and compliance risk areas identified in 2020 related to federal audit activity

  • Describe simple direct steps managers can implement to identify high risk problem areas that diminish payment, increase regulatory risk and contribute to inaccurate Quality Reporting.

  • Identify practical direct solutions to changes in the data formulation and review processes in the facility that have been successfully utilized by facilities to reduce risks and improve data accuracy.

Leah Klusch’s education and consulting to healthcare professionals is defined by her dynamic style, sense of humor, no-nonsense advice and innovative ideas. Her ability to focus on learning rather than teaching makes her a welcomed and applauded industry speaker, educator, and nurse leader.

She’s the founder and director of The Alliance Training Center, an educational foundation focused on geriatric care issues in Alliance, Ohio and the author of numerous published articles in industry journals, periodicals, trade publications, books, video trainings, and lectures nationally on current industry topics. Leah is passionate about her work and her energy is contagious when helping clients and industry members manage:

  • Care Delivery & Clinical Competency
  • Wellness & Restorative Care Giving
  • Compliance & Risk Management
  • Leadership
  • Re-engineering & Facility Planning
  • Skilled Facility Operations
  • Payment & Reimbursement Strategies
  • Assessment and Assessment Documentation including the MDS Process
  • Regulatory Compliance

As a healthcare industry consultant with a penchant for bridging clinical, financial and compliance needs in an easy-to-understand, fun way, Leah’s insights are captured and read throughout the industry, online as well as offline.

Highly-Sought Speaker and Trainer
Leah can be found on the speaker and trainer lists of the industry’s most well-respected association conferences including American Health Care Association (AHCA), American College of Health Care Administrators(ACHCA), LeadingAge, PharMerica, and International Council on Active Aging (ICAA), as well as many state and local professional associations and ownership groups. Her expertise has attracted packed sessions on hot topics like the recent MDS changes and the conversion to PDPM, understanding care area assessments and Compliance rules with Part A Medicare and Auditing Therapy Services. She has authored and co-authored videos for the Briggs Corporation and written forms and formats for MedPass, and launched a series of MDS web-learning sessions for skilled nursing, rehab, specialty, hospice and home health.

Widely Published Author
Covering the industry’s biggest topics, Leah’s work has been featured in Long Term Living, McKnight’s Long Term Care News, Provider Magazine, and The Director. She was first published in 1968 in the American Journal of Nursing and has authored more than 40 published articles. In addition, she has authored two books on restorative care giving and Understanding the Care Planning Process.

Individual facilities and nursing home management groups and owners from across the country rely on Leah’s ability to assess and advise them on operational and clinical issues. She also works with industry-vendors to supply applicable solutions to the industry, like MDS Achieve, Med Pass, Ability, Direct Supply, Encore Rehab, PharMerica, Therapy Management, and McKnights.

Participated in a research investigation with The University of Pennsylvania focused on sleep hygiene and elders with nocturnal incontinence. Diane K. Newman, DNP FAAN BCB-PMD is co-investigator. Domtar Personal Care is supporting the investigation with an unrestricted grant.

Nursing ― This program has been approved for one clock hour of continuing education credit by The Illinois Board of Nursing, an approved sponsor of continuing education by the Illinois Department of Professional Regulation.

Administrators ― This program has been approved for one hour of continuing education by the National Continuing Education Review Services (NCERS) of the National Association of Long-Term Care Administrator Boards (NAB) – Approval #20221015-1-A78426-DL.

PLEASE NOTE: Attendees must submit their documentation directly to their respective state boards, associations, or licensing agencies. Forum Extended Care Services provides CE certificates only to attendees.


Leah Klusch, RN, BSN, FACHCA
Leah Klusch, RN, BSN, FACHCAExecutive Director at The Alliance Training Center, Inc

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