Zimmet Healthcare and The Reimbursement Symphony

Add to Calendar Zimmet Healthcare and The Reimbursement Symphony 8/11/2026 9:00:00 AM 8/13/2026 4:30:00 PM America/New_York For More Details: https://rutgers.cloud-cme.com/course/courseoverview?EID=32601 Description: In today's evolving regulatory landscape, Five-Star performance is no longer driven by a single measure—it'sa complex medley of quality metrics, health inspection outcomes, staffing data, and documentation that must work in harmony. At the same time, increasing audit activity and Additional Documentation Requests (ADRs) require organizations to defend their performance with precision and consistency.... Mohegan Sun false MM/DD/YYYY


Date & Location
Tuesday, August 11, 2026, 9:00 AM - Thursday, August 13, 2026, 4:30 PM, Mohegan Sun, Uncasville, CT

Overview

In today's evolving regulatory landscape, Five-Star performance is no longer driven by a single measure—it's a complex medley of quality metrics, health inspection outcomes, staffing data, and documentation that must work in harmony. At the same time, increasing audit activity and Additional Documentation Requests (ADRs) require organizations to defend their performance with precision and consistency. This session brings these elements together into one cohesive composition, helping providers understand how changes across Five-Star domains intersect with survey outcomes and audit risk. Attendees will gain practical insight into aligning clinical practices, documentation, and data integrity to not only improve ratings but also strengthen ADR response and overall compliance. By the end, participants will be equipped to conduct their organization's performance with confidence, clarity, and control.


Objectives
 
Upon completion of this activity, participants should be better able to:

 


  1. List the current healthcare issues and their influence on policy as related to nursing home care and reimbursement.
  2. Describe how FY 2027 final rule has impacted Medicare and Medicaid clinical reimbursement systems.
  3. Document the nursing home current imperatives as defined by CMS, OIG, AG and DOJ.
  4. Analyze how payer type impacts key outcomes such as length of stay, rehospitalization and patient satisfaction.
  5. List ways to engage with state associations in the advocacy of outstanding elder care in nursing homes.
  6. Anticipate policy headwinds from proposed CMS policy and additional legislation and new published peer reviewed outcome studies.
  7. Identify how to best prepare for state survey, using past data and trends in the marketplace.
  8. Describe the intersection of quality, compliance and regulatory success.

Accreditation and Credit Designation

Joint Accreditation Commendation Logo In support of improving patient care, Rutgers Biomedical and Health Sciences and Zimmet Healthcare Services Group, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.


Credits
ANCC Contact Hours (22.00 hours)