August 9-10, 2023

mohegan sun

uncasville, ct


till' the pre-conference


The “Roaring 20s” brings to mind jazz bands, flappers, bootleggers, gin joints, and raccoon coats. It was a decade of prosperity and dissipation for a nation emerging from the Great War and a devastating pandemic. The 1920s were years of profound social change and cultural conflict. For many Americans, the growth of cities and so-called “revolution in morals and manners” represented liberation from the nation’s Victorian past, but this cultural enlightenment clashed with a still deeply traditional heartland weary of outsiders and fearful of change.

Meanwhile, technology took its first great leap into everyday society. Radio broadcasting brought the outside world to communities long isolated and ossified by tradition; the decade ended with nearly half the nation’s households filled with sounds of modern civilization for the first time.

A century later, much has changed but more has stayed the same. The “war to end all wars” did no such thing, ideological extremism still pulls at the fabric of rational discourse, and we find ourselves emerging from another devastating pandemic. Yet for all the monumental issues shaping the modern zeitgeist, it’s another technology that promises/threatens to change the world in ways Marconi could not have dreamed.

“Roaring Reimbursement” examines Skilled Nursing through the lens of a nation, and a healthcare continuum, in transition. Governments must balance the Quality/Payment equation by solving for impossible variables. Investigations and oversight have ramped up to untenable levels as providers consider the possibilities of incorporating Artificial Intelligence into their management structure. Is the industry’s future fraught with economic malaise or new opportunities? In the 1920s, professionals took refuge from society at the Speakeasy. Today, the discussion starts at Skilled Nursing’s Speak-e-Z!


3:30PM – 8:30PM: Registration opens

5:00PM – 7:00PM:  Pre-Conference MDS 1.18.11

7:00PM:  Welcome Reception hosted by Prime Source Healthcare Solutions

7:30AM – 9:00AM:  Registration / Breakfast (Kosher available)

9:00AM – 12:15PM:  Sessions

12:15PM – 1:30PM: Lunch (Kosher available)

1:30PM – 4:45PM: Sessions

4:45PM: Cocktail Reception with Exhibitors

More information regarding Wednesday’s Kosher dinner options to follow

7:30AM – 9:00AM:  Registration / Breakfast (Kosher available)

8:00AM – 9:00AM: Educational Round Tables

9:00AM – 12:15PM: Sessions

Conference ends at 12:15PM with a Grab and Go lunch (Kosher available)

detailed Agenda

3:30pm – 8:30pm


5:00pm – 7:00pm

Pre-Conference: A New MDS for a New Era

MDS 1.18.11

Probably the most recognizable symbol of the roaring 20s is the flapper. The iconic flapper dress represented social change, liberation from Victorian cultural restrictions, and professionalism. Fashion statements were in response to the newly adapted roles of women in the workplace and the voting booth. Still, change is difficult, and the new MDS 3.0 Item Sets v1.18.11 is just that. Abandon the restrictions of prior thought. Embrace the new era of MDS assessment, but do so with the right education!

Alicia Cantinieri, Melanie Tribe-Scott


Welcome Reception

7:30am – 9:00am

Registration & Breakfast

9:00am – 10:00am

Key Note: The Speakeasy

Reimbursement: A New Horizon

During Prohibition, patrons were told to “speak easy” about secret bars and “bathtub gin,” lest they attract unwanted government attention. A century later, Skilled Nursing too often “distills” industry-wide problems down to “speakeasy” soundbites that do nothing to address its fractured economic model. ZHSG believes it’s time to “Speak Up” rather than “Speak Easy” about the systemic disfunction threatening a national “SNF Market Crash”!

Marc Zimmet

10:00am – 10:15am


10:15am – 12:15pm

Liberation in Reimbursement, Manners and Mazuma

FY 2024 SNF Reimbursement

The groundbreaking 1927 motion picture classic, “The Jazz Singer,” starring Al Jolson, was the first film featuring speech dialogue;  the “Talkie” that effectively ended the silent-film era. Today’s “Reimbursement Talkies” features new payors and programs that may effectively end the SNF Fee-for-Service era. Reimbursement strategy must be reimagined to expertly “Arbitrage” risk using emerging technology, which itself brings its own challenges!

Vincent Fedele, Michael Sciacca & special guests!

12:15pm – 1:30pm


1:30pm – 2:30pm

SNFs are not like Jazz…Best not to Improvise; with Apologies to Gershwin

The Rules of the Game

A new art form emerged during the “Roaring 20s.” Influenced by European modernist movements like Cubism, “Precisionism” focused on visual symbolism of industrialization and modernization themes across the American landscape. In retrospect, these precise, sharply defined geometrical characterizations can seem ossified and lifeless by modern standards. Have today’s healthcare regulators fallen into the same 1920s era philosophical sclerosis? How has their razor-sharp, yet distorted, perspectives on healthcare utilization impacted pandemic-era nursing facilities?

Thomas Barnard, Jay Gormley, Steven Littlehale, Melanie Tribe-Scott

2:30pm – 3:15pm

Ain’t Misbehavin’

Your Data Profile

Jack Dempsey ruled the 1920s boxing circuit with an aggressive fighting style and exceptional punching power. His bouts set financial and attendance records, and with the advent of home radio, pioneered the live broadcast of sporting events. He knocked out two-thirds of his opponents, but never faced a pug as ruthless as today’s plaintiff attorneys or government agency, wielding a weapon as distorted as SNF’s data-driven right hook. There is only one way to neutralize such an irrational onslaught… ZHSG’s Data Defender! Know your onions!

Steven Littlehale

3:15pm – 3:30pm


3:30pm – 4:45pm

From the Volstead Act to Staffing Mandates

“State-ing” our Case

1920s laissez-faire economic philosophy, overproduction of goods and “buying on the margin” led to the Wall Street Crash of 1929. The government was pro-business and “hands-off” with financial institutions. Contrast that with today and you’re Tooting the Wrong Ringer! Government intervention in our nursing homes, both positive and negative, dominates our industry. Will this lead to a “SNF Market Crash”?

Andrew Aronson, Tara Gregorio, Stephen Hanse, Zach Shamberg, Marc Zimmet


Giggle Water Time!

7:30am – 9:00am


8:00am – 9:00am


  1. Five-Star
  2. Staffing/PBJ
  3. Out of Balance: Bridging the Gap between Revenue and Expense
  4. Nerds are COOL! Understanding your data

Come join our experts for breakfast roundtable discussions where you will have the opportunity to ask the questions you were always afraid to ask!

Amy Greer, Melanie Tribe-Scott, Marinela Shqina, Dr. Chasey Sanchez

9:00am – 10:00am

The Justice Department and the Bureau of Prohibition

Putting Survey and Enforcement into Context

The continuing legacy of abysmal conditions of Almshouses were considered acceptable for some but not the “worthy poor.” As a result, old age homes emerged and were operated by religious and ethnic groups to care for the elderly. However the Depression era led to even worse conditions for the aged, and public outcry for reform, seeding the ground for government oversight and industrialization of the nursing home. Skilled Nursing Home of today are challenged to meet the increasing demands of the survey/certification process. New strategies are presented and “that’s the crop.”

Alicia Cantinieri, Amy Greer

10:00am – 10:15am


10:15am – 11:00am

Born from the Great Depression, the Continued Staffing Crisis

Staffing Mandates and Other Requirements

The impact of immigration, racial conflict, and gender politics dominated the workplace of the 1920s. However the greatest change resulted from the 19th Amendment and increased presence of women in the workplace. Women joined labor unions, participated in strikes for better working conditions and higher pay. Today we have our own staffing issues, metrics and government mandates. How does the past influence today and the future?

Steven Littlehale, Melanie Tribe-Scott

11:00am – 12:00pm

The New Age of Therapy Management

Therapy as Partner

PT, OT and ST principally emerged as professions in the US in the early 1920s as a result of the spread of poliomyelitis and the rehabilitation needs of soldiers returning from the battlefronts of WWI. Though historical accounts date back even further, the role of the therapist today is profoundly more advanced aided by unimaginable technologies and software. The New Age of Therapy Management is now. Revolutionary disruption will redefine the role of therapist as partner.

Robert Gross, Michael Sciacca

12:00pm – 12:15pm

And that’s “The Cat's Pajamas"


Grab & Go Lunch

conference fees


SNF Employee / Owner / Operator


Other Industry Stakeholders

*this is to attend the conference, not to exhibit

Onsite registration will be subject to administrative fee.

EducAtion Credits


This program will be submitted for up to 11 CE clock hours (Main Program: 9 CEUs; Pre-Conference: 2 CEUs) to the NCE Review Service of NAB Examiners.


Zimmet Healthcare is a NJ Board of Accountancy CPE Sponsor. CPA Registrants should contact their governing agency to determine if these courses will qualify towards their CPE requirements.


In support of improving patient care, this activity has been planned and implemented by Rutgers Biomedical and Health Sciences and Zimmet Healthcare Services Group, LLC. Rutgers Biomedical and Health Sciences 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. Earn up to 12 CEs


Conference Contact: Eileen Seigal –

All Sponsorships Include:
Promotion on App, Promotion on Social Media,
Right of First Refusal for 2024 Conference

Exhibitor Tables can be purchased ONLY in conjunction with a Sponsorship listed below.

$20,000 per each option


  • Charging Station personalized
  • Shoe Shine
  • 2 Banners in Gateway

All options include:

  • Promotional Material in conference bag
  • 2 Vendor Attendees
  • Day 2 Raffle with 1 min video
  • Option to Purchase Exhibitor Table

$40,000 per each option


  • Registration Software personalized
  • Thursday Lunch with personalized napkins

All options include:

  • Promotional Material in conference bag
  • Day 1 Raffle with 1 min video
  • 4 Vendor Attendees
  • Option to Purchase Exhibitor Table



Speak-e-Z! Opening Experience including live Jazz Band


  • Promotional Material in conference bag
  • Day 1 Raffle with 1 min video & stage time
  • 6 Vendor Attendees
  • Exhibitor Table

Cancellation POLICY

90% refund if cancelled > 7 days prior to program; 25% refund if cancelled within 1 week of program. However, registration fees will be fully refundable if restrictions prohibit events/gatherings of our anticipated size at any point up until the date of the conference.


A world at play and a world to its own, Mohegan Sun is ONE OF THE WORLD’S MOST AMAZING DESTINATIONS with some of New England’s finest dining, hotel accommodations, retail shopping, live entertainment and sporting events.

Register For Conference First

Conference Registration with payment is required prior to booking a hotel room at the Mohegan Sun in the Zimmet block. All reservations for the discounted block of Zimmet sleeping rooms must be made through a direct link that will be provided to you once we begin the payment process and your conference payment has been received.

Book room within the zimmet block

At that time, hotel rooms will be available within the Zimmet block on a first-come, first-served basis for registered and paid conference attendees. Any hotel reservation in the Zimmet block without a corresponding paid conference registration may be canceled by the hotel and/or Zimmet without notice and subject to the deposit being forfeited.

The DEADLINE DATE to reserve a room in the Zimmet block is Friday, July 21, 2023 NO EXCEPTIONS!, or until the Zimmet block is sold out, which may be sooner.

Not Accepting Phone Reservations

The Mohegan Sun is NOT accepting telephone reservations for the Zimmet block of discounted sleeping rooms.


MDS version 1.18.11

MDS version 1.18.11 is not merely a simple update; it will impact reimbursement, care planning, and quality measurement. The new version of the MDS eliminates section G from the OBRA assessment, which has “trickle-down ramifications” on care planning, quality of care, and reimbursement, to name a few. New items are added that include data for the new QRP Transfer of Health Information measure. This essential Roaring Reimbursement Pre-Conference Event will highlight the new MDS and provide valuable information to ensure the interdisciplinary team is prepared and ready for success!

Join us on Tuesday, August 8, 2023, from 5-7 PM EST; you will not want to miss it!


  1. Outline the new items and changes to MDS v.1.18.11.
  2. Discuss best practices for incorporating the new MDS questions into the interdisciplinary process for person-centered care.
  3. Review facility procedures to ensure appropriate supporting documentation for OBRA, Medicare Part A PDPM, and State Medicaid CMI.
  4. Identify how these changes affect the Quality Initiatives, including QRP and Five-Star.


Alicia Cantinieri MBA, BSN, RN RAC-MT, RAC-CTA, DNS-CT, QCP

Melanie Tribe-Scott BSN, RN, RAC-MTA, RAC-MT, DNS-CT, QC


2022: Lights, Camera, REIMBURSEMENT!


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