2026 Reimbursement Day - Maximizing Reimbursement: Coding, Documentation and Audit Readiness

November 16, 2026 - Quest Conference Center - 9200 Worthington Rd., Ste 400 Westerville, OH

Capturing reimbursement is only part of the equation. Today's reimbursement environment requires facilities to accurately capture resident acuity while ensuring every coding decision is supported by documentation that can withstand Medicare, Medicaid, and contractor review. 
 
This full-day workshop goes beyond coding rules to explore the complete reimbursement lifecycle, from identifying legitimate reimbursement opportunities to building the documentation, interdisciplinary processes, and compliance practices necessary to support those decisions during audits. Participants will review advanced PDPM coding strategies, reimbursement optimization techniques, common compliance vulnerabilities, and practical approaches for successfully navigating medical reviews, CGS audits, and other reimbursement validation processes. Through real-world case studies, interactive coding scenarios, audit examples, and documentation best practices, attendees will leave with practical tools to maximize reimbursement, reduce compliance risk, and confidently defend the care they provide. 

Learning Objectives:

• Describe advanced PDPM coding, documentation, and interdisciplinary practices that support accurate reimbursement and regulatory compliance.
• Discuss common reimbursement compliance risks, audit vulnerabilities, and strategies to strengthen documentation and prepare for Medicare, Medicaid, and contractor reviews.
• Identify opportunities to optimize, protect, and defend reimbursement through accurate MDS coding, compliant documentation, and effective audit response practices.

Agenda for the Day:

**Presenters will be listed as they are confirmed ahead of the event**

9:00-9:15 - Welcome & Setting the Stage
9:15-10:00 - The Financial Picture: Understanding What Drives Reimbursement (Stephanie Christopher & Brady Dalrymple)
10:00-10:45 - Maximizing Rightful Reimbursement: Capturing the Complete Clinical Picture
10:45-11:00 - Break        
11:00-11:30 - Follow the Dollars: The Financial Impact of What We Capture-or Miss (Stephanie Christopher & Brady Dalrymple)
11:30-12:15 - Documentation & Coding: Supporting Rightful Reimbursement
12:15-1:00 - Lunch        
1:00-1:45 - Reimbursement Best Practices: Putting It Into Practice
1:45-2:00 - Break        
2:00-3:15 - When CGS Comes Calling: Managing Medical Review & Audit Requests and Common Unvalidated Issues
3:15-3:45 - From Reimbursement to Review: Can You Defend It?
3:45-4:00 - Questions, Key Takeaways & Closing

Continuing Education Information

5.5 clock hours will be awarded upon successful completion.  

6.6 CPE hours will be awarded upon successful completion

Criteria for successful completion: Completing sign in sheet, attendance at entire event and completion of evaluation form.

LeadingAge Ohio is an approved provider by the Board of Executives of Long Term Services and Supports. Core of knowledge subject areas: Care, Services and Supports; Operations; Environment and Quality; Leadership and Strategy.

As stated in the Ohio Administrative Code Rule 4723-14-05, education that has been approved by a board or an agency that regulates a health care profession in Ohio or another jurisdiction is an acceptable option to meet nursing continuing education requirements.

LeadingAge Ohio is an approved CPE Sponsor from the Accountancy Board of Ohio, CPE.379, expiration date: 5.31.2027.

Learners have 10 days from live event date to complete course, including obtaining education certificate.