RAC-CT® Certified

The Minimum Data Set (MDS) is the driving force in care planning, quality measures, survey process, and reimbursement in skilled nursing facilities. Having a solid understanding of the entire MDS item set is key to capturing the unique needs of each individual ensuring appropriate reimbursement. Having a therapy partner that can support your community beyond MDS Section O: Special Treatment, Procedures, and Programs, is critical as the industry rapidly approaches the new Patient-Driven Payment Model effective October 1, 2019. Functional Pathways is that partner. Our team of Resident Assessment Coordinator-Certified Program (RAC-CT®) experts are here to answer your questions. If you are feeling less than prepared, we would love the opportunity to show you how Functional Pathways is ready to help prepare and position your community to provide care a better way under PDPM and across the continuum.

PDPM HIPPS Codes

Beginning October 1, 2019 providers will need to begin coding a new set of Health Insurance Prospective Payment System (HIPPS) codes in Section Z0100A of the MDS as well as on the Part A claim. This coding of HIPPS codes will identify the resident’s SNF PDPM...

Positioning Your Team for Change

Change is the name of the game as we move through 2019 and toward the Patient Driven Payment Model (PDPM), one of the largest realignments of service delivery the rehabilitative care industry has experienced in 20 years.  Functional Pathways has been preparing staff...

MDS Section J is no “J”oke!

PDPM!  I am sure you have heard about this new payment system by now, right? As you prepare and position yourself for this major change, we have to not only understand all of the moving parts, but more importantly, how all of those moving parts affect resident...

Proposed Rule for FY 2020

The Centers for Medicare & Medicaid Services (CMS) publicly posted the fiscal year (FY) 2020 Skilled Nursing Facility Prospective Payment System (SNF PPS) Proposed Rule. The rule updates Medicare Part A per-diem payment rates as well as proposing other key policy...

Revitalizing Restorative Nursing

Restorative nursing is important to your facility now and will be under the new Patient Driven Payment Model (PDPM) payment system. Ensuring that our residents have services to improve or maintain their functional abilities is imperative for resident outcomes and to...

PDPM Patient Classification Update

CMS has updated the patient classification FAQ on February 14, 2019.  In this updated FAQ, CMS clarifies where the primary reason for the SNF stay will be coming from. It was previously noted that the ICD-10 code that reflects the reason for the SNF stay would pull...

PDPM Intensive Training Sessions Score High Marks on Participant Surveys

“I feel better prepared to get started on educating my building for PDPM” “The relationship between PDPM and reducing rehospitalization rates finally clicked for me during the training.”  “It was evident that (the facilitators) all spent MANY hours preparing to make...

Clinical Reasoning for Section GG

With the newly implemented enhancements (10/01/18) to the assessment-based quality measures (Section GG) , it is imperative to take time to time to reflect on our practice patterns.  This new process will provide statistical analysis for CMS to determine the...

Lifelong Learning

The Payment Driven Payment Model (PDPM) is demanding our full attention. It will drive an epic change in focus from quantity to quality of care.  Functional Pathways has created a PDPM Academy along with the launch of Medbridge to optimize our strategic initiatives to...

Speech Therapy in a PDPM World

PDPM is coming- are you, the SLP, ready?  Do you know what this means for us Speechies?  How do we fit into the changes in the new payment system? How do we make sure we, as skilled therapists and a profession, remain relevant as we move forward?  We should not see...

Check out how we're preparing for BIG CHANGES!

(RAC-CT®) certification is the distinguishing characteristic of an expert in resident assessment. AANAC’s RAC-CT program has long set the national standard for skilled nursing facility PPS and MDS education. More and more employers are requesting

RAC-CT certified applicants in their job postings as it has become the mark of a professional who is committed to their career and residents.

 

Meet our certified staff below!

Have a burning question about the PDPM Interim Payment Assessment (IPA) or how to prepare for the hard transition from RUGs-IV to PDPM? Or if you just want to learn more about our strategy, contact us at

pdpm@fprehab.com!

Karen Welsh

Karen Welsh

Director of Clinical Outcomes

Karen has over 30 years of SNF and post-acute care experience with an extensive background in Five Star and Quality Measure Improvement programming and outcome management. Her areas of expertise include: PDPM, clinical program development, compliance, documentation audit and improvement processes, clinical reimbursement, and EMR development and implementation.

Melissa Ward

Melissa Ward

VP of Clinical and Regulatory Affairs

Melissa has over 20 years of healthcare experience with most of her career devoted to improving care in the senior living community. She brings expertise in program development, maximizing functional outcomes, and ensuring appropriate reimbursement in adherence with state and federal regulatory guidelines. During her 5-year tenure with Functional Pathways, she has been instrumental in the development of best practices for effective and efficient care delivery within multiple alternative payment initiatives.

Gina Tomscik

Gina Tomscik

Director of Compliance & Regulatory Strategy

Gina has worked in post-acute care for 28 years. She has been with Functional Pathways for nine years and currently serves as the Director of Compliance and Regulatory Strategy. Her areas of expertise include: ensuring compliance with regulatory changes, understanding clinical
reimbursement, and following state and federal guidelines. She is actively pursuing her certification in health care compliance (CHC).

Verona Bair

Verona Bair

Clinical Reimbursement Specialist

Verona is a Registered Nurse with over 40 years of experience serving multiple roles in the long-term care industry. As a DON and MDS Coordinator she focused on education related to policy and procedure as well as reimbursement. She has assisted facilities struggling with
compliance and large census buildings nationwide.

Beth Reigart

Beth Reigart

Clinical Outcomes Specialist

Beth has worked in health care for 39 years. In addition to being a registered occupational therapist, Beth holds a master’s degree in public health and certifications in Rehabilitative Tai Chi, Relaxation Based Pain Relief and use of the Brief Cognitive Assessment Tool (BCAT). Her RAC-CT certification is an impressive addition to her expertise and illustrates her commitment to professional development. Beth has been with Functional Pathways for three years and is a key contributor to PDPM implementation and clinical initiatives. 

Jennifer Callahan

Jennifer Callahan

Clinical Outcomes Specialist

Jennifer has extensive clinical and operational experience in the post-acute care continuum and has held various leadership positions both operationally and clinically. Jennifer’s experience includes identifying areas of operational opportunity, improving clinical outcomes and efficiencies through program development and training, and increasing accuracies of coding and documentation for optimization of patient-centered care. 

Anita Wagner

Anita Wagner

Area Director of Operations

Anita Wagner has been with Functional Pathways since April 2018 as an Area Director of Operations.  She has her BS in Physical Therapy and graduated from University of Scranton in Pennsylvania.  She has worked as a manager in skilled nursing facilities and ST rehab settings for the past 25 years for both operational and clinical oversight. She has held project lead positions in various focus groups for employee relations and clinical development.  She is current overseeing multiple contracts for FPR within SNF/IL and AL communities.

Casie Jo Davis

Casie Jo Davis

Documentation Compliance Coordinator

Casie Jo Davis has worked in the SNF and LTC sectors as an LPTA for 15 years in addition to serving as a DOR. She has worked the last 3 years in the Compliance department for FP as a Documentation Compliance Coordinator and has been with Functional Pathways for 10 years.

Sarah Sears

Sarah Sears

Documentation Compliance Coordinator

Sarah has worked in health care for almost 20 years. In addition to being a COTA, Sarah is also a licensed Nursing Home Administrator and has her master’s in business administration. Her RAC-CT certification is an impressive addition to her expertise and illustrates her commitment to professional development. Sarah has been with Functional Pathways for almost three years.

Beth Dunn

Beth Dunn

Area Director of Operations

Beth Dunn graduated from Baltimore City Community College as a PTA in 1980. She has been a practicing clinician for thirty-nine (39) years and has spent the last fourteen (14) years as an Area Director. Beth has worked with Functional Pathways since April 2015 after working with an acute care hospital designing bundle payment programs for orthopedic conditions. Beth started her career in Maryland and moved to Florida to manage the Florida and southeast area.

Colleen Oakley

Colleen Oakley

Area Director of Operations

Colleen Oakley joined Functional Pathways in February of 2015 as a Regional Manager. She holds a BSc in Occupational therapy from the University of Illinois at Chicago. She moved into management in 2001 and has worked in multiple states. After going through an AIT program, Colleen got her Nursing Home Administrator license in Tennessee in December of 2010 and moved into a Divisional Vice President role in February of 2011.

Terri Watts

Terri Watts

Area Director of Operations

Terri has worked in Health care for 26 yrs.  In addition to being a PTA, Terri received her Bachelor of Science in Clinical Services Management and has worked in Multisite Management for the last 15 years. Holding positions ranging from Director of Rehab to Regional Vice President, Terri has been an employee of Functional Pathways since 2018 and recently started her position as Area Director of Operations.

Marie Robb

Marie Robb

Quality Compliance Specialist

Marie Robb, DCC, MPT has been a physical therapist for twenty-two years. Twenty-one years has been in the skilled nursing and home health settings. She has been with Functional Pathways for nine years. Five years was spent as a lead PT in a building in Ohio and four years in compliance auditing and training therapist to improve their documentation. She is from a small town north of Pittsburgh, Koppel, PA. Marie attended Beaver Falls High School and completed her under and post-graduate degrees at Gannon University in Erie, PA. She is currently working on RAC -CT certification.

Wanda Terrell

Wanda Terrell

Documentation Compliance Coordinator

Wanda Terrell has been a PTA for 29 years and an employed with Functional Pathways for 11 years.  She started her career on Long Island in 1990 and worked in an outpatient chronic pain clinic providing manual therapy services. She relocated to Wilmington NC in 1997 and continued in outpatient manual therapy, until 2006 when she found a small rural Nursing Home looking for a PTA and found my new home. The residents and staff were like family and she worked in that facility for two years as staff PTA, becoming the CM in 2008 when Functional Pathways took over the contract. In 2010 she became a Regional Manager for Functional Pathways and continued in that position until 2012, when the position she now holds Denial Recovery Coordinator and truly found her home.