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University at Sea®
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St Petersburg, Florida 33703
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Where Outcome . . . Means Income

Long Term Care The Finer Points of Medicare,
Medicaid & Cost Control Management

7-Night Western Caribbean Cruise Conference
March 9 - 16, 2008

This conference has already sailed, but that doesn't mean you have to miss the boat! Click here to see our complete schedule of upcoming programs.

Holland America Line's Classic ms Westerdam
Holland America's ms Westerdam

12 CEUs as approved by the National Association of Board of Examiners for LTC Administrators

Seminar Tuition: $999

Seminar Tuition Cancellation Refund Policy: 30 days or more 100%; 7-29 days - 50% ; less than 7 days None

SAVE $200 OFF YOUR SEMINAR TUITION
FOR DETAILS CALL 1-800-422-0711



IMPORTANT: Dear Conferee. The ships provide many amenities for our meeting group. Private rooms, Dining arrangements, Cocktail Receptions and more. It is required that all participants and their families book within the meeting group at Continuing Education, Inc. 1-800-422-0711 in order for the ship to provide these amenities. All guests are included in complimentary meeting events. We very much appreciate your cooperation in this matter.

IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc./University at Sea® at 800-422-0711 or by registering online. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.
Target Audience
Appropriate for Long Term Care:
* Owners/Operators, CEOs, COOs, CFOs,
* Administrators, Executive Directors,
* DONs, Therapy Directors
Program Purpose / Objectives
Course Overview

Session 1: The Finer Points of Medicare Management:
Program Approval # 1942007-23649-4 4 CEUs

This session is designed to teach Nursing Home Administrators, Directors of Nursing and Therapy Directors how to utilize patients' Medicare benefits to their fullest extent and restore patients to their highest levels of functioning. We will cover the precedent setting Fox v. Bowen lawsuit, and CMS's Transmittal 262 which is the Federal Government's best kept secret. We Will examine the positive effects of Transmittal 262 on a facility's bottom line.

Appropriate utilization of Medicare benefits will, on average, add $250,000 annually to the bottom line for every 100 beds. In addition, we will cover the definition of "skilled care" demonstrating the proper role for Nursing, Therapies, Social Work, and Psychiatric Nursing. The role of Pharmacy will also be discussed and how all facets work together to systematically implement Medicare Part A. We will show how this results in significantly more resources for LTC.

Other little known billables to Medicare will be revealed such as:

• Utilization Review Days
• Post Hospital Skilled Nursing Days
• Rehab Low and Restorative Days
• Death and Dying Days
• Reinstatement Days

Learning Objectives
• What Medicare Should Pay for - Rules and Regulations
• What Medicare is Paying For - Interpretive Guidelines
• Quantify the Difference - Average Length of Stay

I. Medicare Rules & Regulations: What is to be Paid? (60 minutes)
II. Medicare Payment Interpretations (60 minutes)
III. What is the Difference? (30 minutes)
IV. How to Keep the Money (60 minutes)
V. Questions & Answers (30 minutes)

Session 2: The Finer Points of Medicaid Management:
Program Approval # 942007-23651-4 4 CEUs

This session is designed to teach Nursing Home Administrators how to implement policies and procedures that will improve their overall Case Mix scores resulting in higher Medicaid rates. CMS performed DAVE audits and found the 95% of the MDS' were undercoded and not reflecting a valid deficit level for the 18 RUG's Triggers.

Some of the concepts that we cover that will have a positive impact on Case Mix Scores include:
• Proper Approach to Coding the MDS
• Reimbursement Based Care Planning (102 Triggers)
• Case Management Systems for Utilization pertaining to:

a. Restorative Programming
b. Psycho/Social Programming
c. Discharge Planning

Learning Objectives
• What is Case Mix - Focus on Restorative Model
• How to Implement - Restorative Programming
• How to Measure Performance - Pursuit of Outcomes

I. Scoring Case Mix Principles (60 minutes)
II. Theory - MDS Assessment (75 minutes)
III. Practice - Comprehensive Assessment (75 minutes)
IV. Questions & Answers (30 minutes)

Session 3: The Finer Points of Cost Control Mgmt:
Program Approval # 1942007-23652-4 4 CEUs

This session is designed to teach Nursing Home Administrators how to implement Case Management Systems to control quality, labor and ancillary costs. We will explain how to uncover and value those "hidden costs" that can negatively impact the bottom line and offer system solutions to reverse the trend. We will show you how to measure key statistics that can make a difference to overall management and discuss how to monitor and move them in the direction you want to go.

We will demonstrate a new staffing model together with the latest tracking tools that work for the patient and results in happy employees and improved bottom lines. The system presented establishes a Quality Control mechanism for managing risk, reimbursement and labor costs.

Examples of improvements through Case Management will include:
• Turnover rate - improved mode
• Absenteeism Rate - Improved Staff Levels
• Fall Rate - Impact on Liability Rates
• Occupancy Rate - Including Image Marketing

Learning Objectives
• What Costs are Variable, Semi-variable or Fixed
• How to Save on Variable and Semi-variable Costs
• What is the Impact of Waste

I. Expose Hidden Costs (60 minutes)
II. Savings (60 minutes)
III. Business Practice Improvement (60 minutes)
IV. Eliminating Hidden Costs Using Statistics and Graphs (20 minutes)
V. Value Added Incentives for Staff Based on Savings(20 minutes)
VI. Questions & Answers (20 minutes)

Conference Sessions generally take place on days at sea (as itinerary allows), giving you plenty of time to enjoy your meals, evenings and ports of call with your companion, family and friends.
Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.
Faculty
JERRY L RHOADS, CPA, FACHCA - PRESIDENT/CEO - CAREGIVER MANAGEMENT SYSTEMS, INC.

Jerry’s professional experience in long term care spans over 40 years. His career began as a consultant at Arthur Andersen & Co., where he supervised the implementation of MEDICARE for Blue Cross and Aetna insurance companies after its enactment in 1966. In 1976 he wrote the “White Paper” for HEW that became the foundation of the current Prospective Payment System (PPS) for skilled nursing facilities.

As a practicing licensed Nursing Home Administrator he has over 25 years experience in facility operations. His knowledge and understanding of Medicare and Medicaid reimbursement are unparalleled and he is considered one of the foremost reimbursement experts in the country. Based on the 1986 court case Fox v Bowen and Transmittal 262, he developed a method to link skilled interventions to the Medicare and Medicaid reimbursement rules, thereby locking in the right amount to be billed based on entitlement, not Fiscal Intermediary interpretive guidelines.

Jerry is a CPA and a Fellow in the American College of Health Care Administrators. He has presented at many State and National conventions. He strongly believes that the pursuit of positive outcomes improves patient quality of life and facility income!
Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.
Cruise Itinerary
DATE
PORT
ARRIVE
DEPART
Sun Mar 9
Ft. Lauderdale, Florida
-
5:00pm
Mon Mar 10
Half Moon Cay, Bahamas
8:00am
4:00pm
Tue Mar 11
Grand Turk, Turks & Caicos
10:00am
5:00pm
Wed Mar 12
At Sea
-
-
Thur Mar 13
Grand Cayman, Cayman Islands
8:00am
4:00pm
Fri Mar 14
Cozumel, Mexico
9:00am
7:00pm
Sat Mar 15
At Sea
-
-
Sun Mar 16
Ft. Lauderdale, Florida
7:00am
-

Our staff can assist you with all your travel arrangements.

Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.

ms Westerdam

IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc./University at Sea® at 800-422-0711 or by registering online. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.
Cruise Pricing

Prices below are for the full cruise including meals and evening entertainment

Cancellation Penalties vary by cruise line and sailing date. Be sure to review these cruise line policies with our staff.

CATEGORY
DESCRIPTION
CEI RATE
Inside
Large or Standard Inside Stateroom
2 lower beds convertible to 1 queen-size bed, shower. 183-207 sq. ft.
$689-709
Ocean View
Large OceanView Staterooms
2 lower beds convertible to 1 queen-size bed, bathtub & shower 185 sq. ft.
$839-919
Deluxe Verandah
Deluxe Verandah OceanView Staterooms
2 lower beds convertible to 1 queen-size bed, bath & shower, sitting area, private verandah, floor-to-ceiling windows. 249 sq. ft.
$1039-1159
SS
Superior Verandah Suites
2 lower beds convertible to 1 queen-size bed, bathroom with dual sink vanity, full-size whirlpool bath & shower & additional shower stall, large sitting area, dressing room, private verandah, 1 sofa bed for 1 person, floor-to-ceiling windows. 389 sq. ft. with verandah.
$1589
SA
Superior Verandah Suites
2 lower beds convertible to 1 queen-size bed, bathroom with dual sink vanity, full-size whirlpool bath & shower & additional shower stall, large sitting area, dressing room, private verandah, 1 sofa bed for 1 person, floor-to-ceiling windows. 389 sq. ft. with verandah.
$2439
All Prices are Per Person, Double Occupancy, Subject to Change
Call for 3rd/4th person rates
Port Charges, Taxes & Fees $235.34 per person
Deposit $350.00 per person
Single Rates are Available - Request Details from our Staff
Air Fare Additional
PRICING SUBJECT TO CHANGE: Although subject to change at any time, the listed prices are generally available up to about 90 days before sailing; at that time they convert to typically higher, market rates. Rates offered directly by the cruise line and quoted by our agents are also subject to change at any time, can be withdrawn at any time and are capacity controlled.
CANCELLATION PENALTY POLICY WILL APPLY: Cancellation policies vary by cruise line, itinerary and length of cruise. When reserving your stateroom, please review the policy applicable to this cruise with our staff. We strongly recommend Travel Insurance to cover the unexpected.
FUEL SUPPLEMENT: Cruiselines may implement a fuel surcharge depending on the price of crude oil.
Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.

TravelSafe.comPlease visit TravelSafe.com for travel insurance information.

Cruise Line cancellation policies are strictly enforced. For that reason, we urge all of our travelers to carefully consider whether travel insurance is a good value for them.

Certainly, if you have reason to think that "something might come up" that might force you to cancel, travel insurance is worth the cost of the premium. Examples we've seen in the past include ill or frail family members and changes in employment causing relocation.

If travel insurance is the right choice for you, we recommend TravelSafe. To visit their site and explore your options click here or on the link above. The cruise lines also offer travel insurance and we'd be happy to help you go that route if you'd prefer.