Presenter Part 1: David Halferty with Myers and Stauffer | Tuesday July 20, 2021 | 10:00 AM || Presenter Part 2: Bob Dick with Bland & Associates | Tuesday July 27, 2021 | 10:00 AM
Part 1 Objectives:
-Reconcile/confirm the nursing facility rate calculations on the case mix rate schedule using cost report data and information from resident listings
-Project future rates (Jan 1 rate adjustments) using 7/1 rate schedules and information from residents listings (for 7/1 and 10/1)
– Be prepared to provide informed feedback on proposed reimbursement methodology changes.
Part 2 Description: The Kansas Medicaid nursing facility rates are comprised of several components, each of which is derived through multiple calculations. Understanding these calculations is critical to confirming the accuracy of the case mix rate schedules and is also helpful in projecting future rates. This seminar will review the rate calculations to provide a detailed understanding of the reimbursement methodology.
Part 2 Objectives:
-Understand why a nursing facility’s Medicaid rate will increase or decrease
-Manage and control expenses within the Medicaid reimbursement methodology framework
Part 2 Description: The number of Medicaid residents and Medicaid occupancy percentage appear to be increasing in many facilities. Therefore, Medicaid revenue is becoming a larger percentage of total revenue. We will provide an overview of the Medicaid rate and why managing and controlling expenses in relation to Medicaid reimbursement methodology is vitally important.
