Margaret Aho

* Detailed-oriented MDS Coordinator with 32 years of experience in skilled nursing facilities. Proficient in Medicare Part A, PPS/PDPM, and clinical documentation.

*Results-driven MDS Coordinator dedicated to ensuring compliant, timely, and accurate MDS 3.0 submissions.

Expert in navigating complex PDPM case-mix classifications to capture appropriate reimbursement and improve care plan accuracy.

*Optimized reimbursement and compliance for Medicare Part A residents under PDPM, improving Case Mix index (CMI) accuracy through rigorous assessment management.

*Led the monthly Triple Check process to ensure accurate billing, resulting in zero denials for Medicare Part A claims over a 12-month period.

*Maintained 100% compliance in electronic medical record (EMR) data submission and clinical documentation, ensuring all documentation supported MDS coding.

*Coordinated with the interdisciplinary team to ensure accurate MDS 3.0 assessments, enhancing the quality measures (Five Star) within one year.

*Trained staff on PDPM documentation and nursing ADL documentation, reducing reporting errors.

*Coordinated timely submission of all required documents including Minimum Data Set forms, Care Area Assessments, Quarterly Assessment Reconciliation, Annual Assessment Reconciliations, and other regulatory paperwork.

* Participated in survey preparation activities by ensuring that all necessary documents were available during surveys conducted by state agencies or accreditation organizations.