Anna McWilliams

Experienced Registered Nurse with over 20 years in healthcare, specializing in clinical reimbursement and regulatory compliance. Proficient in Medicare and Medicaid reimbursement processes, conducting MDS assessments, staff training, and operational oversight. Dedicated to enhancing resident-centered care and optimizing organizational efficiency within regulatory parameters.

• Registered Nurse – Texas Board of Nursing (Active)
• Licensed Vocational Nurse – Texas Board of Nursing (2002–2010)
• Resident Assessment Coordinator – Certified (RAC-CT)
• RUGs Certification

• Review weekly Medicaid held claims reports and ensure accurate completion of the resident assessment process through the LTCMI workflow.
• Support NACs in areas including MDS coding, quality metrics, the care planning process, PASRR compliance, and rate optimization.
• Educate NACs on upcoming PDPM changes relevant to LTC Medicaid assessments.
• Facilitate IDT adherence to MDS coding, care plan meetings, GG huddles, and PASRR meetings.
• Coordinate and lead weekly in-depth meetings to monitor compliance with budget targets, quality metrics, and routine processes.
• Audit and validate MDS coding to maintain accuracy and conformity with RAI standards