We Set "Sail" In

Conference to be held in the ballroom of the Mohegan Sun Hotel



“Bon Voyage” Reimbursement!

“Bon Voyage” literally translates to “Good Voyage”, but it is not synonymous with “have a good trip”. The term expresses heartfelt feelings of sadness and optimism upon an emotional departure. Bon Voyage means “best wishes for a meaningful journey and a safe return home”.

There is a tide in the affairs of Skilled Nursing Facilities. The industry left port in the misty morning hours of 2020 in waters of relative calm. The ship rode gentle waves of optimism until a sudden storm of unprecedented severity nearly doomed all on board. Federal jetsam, long since exhausted, kept us afloat. The Captain sent repeated SOS pleas to the states, “SAVE-OUR-SNFs!”. Alas, we saw the Good Ship Medicaid on the horizon but nary an ounce of flotsam drifted our way.

The helmsman had no control over yoke or tackle yet fought against the raging tides as if they knew which way to turn. Starboard stability? Long-term risk, Portside gain? There is only one way to safety for all passengers and crew… we sail together; we cannot reach shore alone.

SNFs have been adrift for three long-years. Indeed, Bon Voyage Reimbursement! would have been an apropos farewell upon 2020’s departure. We lost many facilities along the way; those that returned found port in the new SNF-Economy.

The waters are inviting once again as Skilled Nursing embarks on the most meaningful reimbursement journey in its history. Our path is certain, our destination deliberate, but SNFs do not control the high seas of healthcare. Some say providers are caught between Scylla and Charybdis, that rogue waves formed of staffing mandates and managed care imperil this new crossing. This above all else, SNFs are stronger now for having survived the storm. Dedicated operators know Skilled Nursing has always faced adversity; they will always choose to sail. We must take the current when it serves, or lose our ventures.

This July, we say “Bon Voyage Reimbursement!” for a meaningful journey and safe passage home.

Schedule at a Glance

Day & Date

Time in port


Tue, July 16

3:30pm – 8:00pm

5:00pm – 7:00pm

7:00pm – 10:00pm

Registration Opens



3:30pm – 8:30pm:
Registration Opens

5:00pm – 7:00pm:

Wed, July 17

7:00am – 9:00Am

9:00am – 12:15pm

12:15pm – 1:30pm

1:30pm – 4:45pm


Registration / Breakfast




Cocktail Reception

7:30am – 9:00Am:
Registration / Breakfast

9:00am – 12:15pm: Sessions

12:15pm – 1:30pm: Lunch

1:30pm – 4:45pm: Sessions

4:45pm: Cocktail Reception

THU, July 18

7:30Am – 9:00Am

8:00am – 9:00am

9:00am – 12:15pm



Educational Round Tables


Conference Ends

7:30Am – 9:00Am: Breakfast

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

9:00am – 12:15pm: Sessions

12:15pm: Conference Ends

Daily Itinerary

Time in port


3:30 PM – 8:00 PM


5:00 PM – 7:00 PM


Savoring MDS Documentation: A Buffet of Medicare, Frozen QMs, and CMS Survey Guidance

Ahoy, hungry healthcare sailors! Prepare your appetites for a delectable pre-conference feast as we serve a sumptuous buffet of insights into Minimum Data Set (MDS) documentation. Join us as we indulge in the flavors of Medicare and Managed Care, sampling the tantalizing dishes of recent updates and best practices. Feast your eyes on the savory delights of the frozen Quality Measures (QMs) for 2024, served with a side of strategies to maintain quality standards. And don’t forget to save room for dessert as we sweeten the deal with essential guidance from the Centers for Medicare & Medicaid Services (CMS) regarding survey protocols. Navigate through our buffet of MDS documentation with seasoned expertise, ensuring your plate is filled with compliance and regulatory satisfaction. Whether you’re a culinary connoisseur, a buffet enthusiast, or simply hungry for knowledge, this session promises a mouthwatering array of flavors to satisfy your appetite for documentation excellence. Come with an empty plate and an open mind as we invite you to savor the flavors of MDS documentation, indulging in a buffet of Medicare, Frozen QMs, and CMS Survey Guidance. Bon appétit!


7:00 PM – 10:00 PM

Welcome Reception

Time in port


9:00 AM – 10:15 AM:

Key Note

“Anyone can hold the helm when the sea is calm.”

-Publilius Syris


“The breaking of a wave cannot explain the whole sea.”

-Vladimir Nabokov

The Beaufort scale measures sea conditions, mirroring profound variations in local healthcare market dynamics. At B-zero, SNFs enjoy “smooth sailing” through calm waters; at B-12, they “batten down the hatches” as hurricane-like waves of reimbursement challenges batter operations. Like ships sailing unpredictable seas, SNFs must navigate through reimbursement riptides beyond their control.

The SNF-vessel is currently misclassified within a fleet that includes Hospitals and Home Health providers. However, the financial reality of Skilled Nursing aligns more closely with vacation Cruise Ships. Both have high fixed costs that can only be covered by strong occupancy and ancillary services, but SNFs operate outside traditional economic norms – prices are fixed, care cannot be outsourced, labor cannot be furloughed during low demand periods, and revenue lost due to empty beds is irrecoverable. The difference is SNFonomics.

This session will explore unstable currents of the emerging SNF economy, and how data can be leveraged to navigate through the chop of regulations and reform.

Speaker: Marc Zimmet

10:15 AM – 10:30 AM


10:30 AM – 12:15 PM

PDPM CMI Analysis: Navigating the Medicaid Seas and Charting an Updated Course in the Reimbursement Journey

As the healthcare financial tide shifts toward PDPM CMI for Medicaid reimbursement, our journey into uncharted waters reveals transformative insights in this mega session. We embark on a narrative voyage, exploring strategies and innovations that redefine the landscape, elevating your SNF’s financial and clinical performance.

Dive into early PDPM Medicaid case-mix performance data to best prepare for this monumental shift in the Medicaid reimbursement landscape. The captains will demonstrate best practices and highlight documentation requirements and quality reporting impact to ensure smooth sailing in your CMI transition. Additionally, we will explore the tools available for your crew members to maximize the efficiency of a Machine Learning EMR-based alert engine. These applications will revolutionize MDS completion by identifying resident acuity to prompt assessment completion.


12:15 PM -1:30 PM


1:30 PM – 2:30 PM

Before The Bon Voyage Confetti: CMS Staffing Mandate – From Understanding To Strategic Mastery

Gripping the ship’s wheel and steering through turbulent waters becomes challenging amidst the uncertainties surrounding CMS’s staffing mandate. Understanding the interplay with existing state mandates and harnessing staffing data for insights become crucial in navigating these uncharted territories. In this session, discover the tools to decipher disparate staffing data, gaining the insights needed to not only weather the storm but to thrive. Consider it your reliable compass in these uncertain times, guiding you towards strategic success amidst CMS staffing mandates.


2:30 PM – 3:15 PM

Celestial Navigation of the Current and Anticipated
Five-Star Changes

Join us for a comprehensive review of the recently unveiled Five-Star Staffing Domain, where we’ll delve into the celestial landscape of changes. Beyond the stars, explore the intricacies of new quality measures and anticipated survey proposals, deciphering their impact on operators, lenders, and REITs. As we navigate these uncharted territories, discover the constellations of insights that illuminate what these changes signify for the industry. Just as ancient mariners used the stars to guide their journeys, we’ll navigate the new Five-Star Staffing Domain and related shifts, providing a compass for operators, lenders, and REITs in steering through these changes and optimizing their course.

Speakers: Steven Littlehale, Jay Gormley and AMY GREER

3:15 PM – 3:30 PM


3:30 PM – 4:45 PM

“A smooth sea never made a skilled sailor.”

– Franklin D. Roosevelt

The Great Sea Captains

“Great sea captains are made in rough waters and deep seas.”

-Kathryn Kuhlman

At sea, the Captain directs the Officer of the Watch, who then conveys commands to the Helmsman steering the Great Ship Reimbursement. SNFs are not in control of market currents; they are passengers on vessels buffeted by waves of CMMI and Medicare Advantage.

Providers depend on state associations as advocates to safeguard them from storms. However, due to vast differences in SNF composition, diverse waters in which they navigate, and overstretched crews, a growing number of SNFs cannot remain seaworthy under Medicaid payment systems that treat all SNFs alike.

In this session, a panel of Association leaders will discuss safeguarding their respective fleets against local storms. But given the vast expanse of 50 oceans, State Captains will be challenged to send the Admiral an urgent SOS, requesting new protections that shield SNFs nationwide from the devastating impact of larger ships deliberately dropping anchor on Skilled Nursing’s deck.

Speakers: Marc Zimmet, Martin Allen, Andy Aronson, Matthew Barrett, Joseph DeMattos, Tara Gregorio, Stephen Hanse and ZACH SHAMBERG

Time in port


7:30 AM – 9:00 AM


8:00 AM – 9:00 AM

Round Tables

  • Balancing Cost with Quality in Purchasing Decisions
  • Five-Star: What’s New, and Proven Strategies for Success
  • Data Analytics: Strategies for Improvement and Success
  • PDPM: Achieving Your Best Outcome


  • Bill Hartung
  • Abby Nielsen
  • Dr. Chasey Sanchez
  • Kenneth Kelley and Sally FEcto

9:00 AM – 10:00 AM

Sabering Excellence: How the Mock Survey Becomes a Grand Ceremony in Survey/Certification

Sabering, the artful technique of opening a champagne bottle with a saber, mirrors the precision required for excellence in healthcare. Join us for a captivating session where we draw parallels between the ceremonial sabering and CMS’s groundbreaking survey guidance for high-performing facilities.

Explore a strategic, data-driven approach to survey preparation as we delve into the latest trends at the state and national levels. Learn how to align your facility with the standards of excellence and be well-prepared for the challenges ahead.

Are you ready to pour success? Elevate your survey readiness with insights from this engaging and informative session.


10:00 AM – 11:00 AM

Unveiling the Healthcare Odyssey: Navigating MAC, RAC,
and SMRC Realities

Join us for an in-depth exploration of the current developments in the field. The Medicare Administrative Contractor (MAC) is immersed in the intricacies of the SNF 5-claim, while the Recovery Audit Contractor (RAC) diligently pursues fund recoveries. Simultaneously, the Supplemental Medical Review Contractor (SMRC) is actively engaged in its ongoing project.

Navigate the complexities of appeals reaching the Administrative Law Judge (ALJ) level as we dissect the multifaceted aspects of these key industry happenings. Gain valuable insights into the challenges and opportunities arising in the dynamic healthcare environment.

Speaker: Alicia Cantinieri

11:00 AM – 11:15 AM


11:15 AM – 12:00 PM

Cruising with Confidence: Navigating Therapy Operations and Compliance through Advanced Technology

Embark on a transformative journey as we explore the swiftly changing world of therapy department operations. Join us for an insightful session where we navigate through the seas of “Next Gen” analytics necessitated by recent changes to Medicare/Medicaid reimbursement systems, increased ISNP penetration and a wave of regulatory audits.

Learn how to measure therapy department success with a focus on the latest advancements in technology, and discover the key elements of management tools that will enhance efficiency and streamline processes. Just like a well-manned cruise ship, we’ll guide you through the strategies to ensure your therapy department is on course and ready to embrace the future of healthcare.

Bon Voyage to a new era of therapy management and innovation!


12:00 PM – 12:15 PM


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. Nursing contact hours pending.

conference fees

A $50 early registration discount offered if
registration and payment are received by 4/1/24.


SNF Employee / Owner / Operator


Other Industry Stakeholders

*this is to attend the conference, not to exhibit

Onsite registration will be subject to administrative fee.

Starboard Sponsorships

Cruise Director: Eileen Seigal – eileen@zhealthcare.com

All Sponsorships Include:
Promotion on App, Promotion on Social Media, Early Access to 2025 Conference

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

BOATSWAIN | $15,000 per each option


  • Footprints in Gateway
    of Earth Conference Center BOOKED
  • Room Drop (cost of room drop basket not included in sponsorship fee)
  • Soft Drink Station (Wednesday) BOOKED
  • Cheese Station at Cocktail Reception
  • Education Credits
  • Outside Lounge Area BOOKED


  • Social Media Pre-conference Solo Post
  • 1 Company Representative
  • Visibility on Conference Website Home Page

3RD MATE | $20,000 per each option


  • Footprints by Elevator Bank
    and Registration Kiosk
  • Conference Bag with logo BOOKED
  • 2 Banners in Gateway
  • Snack Bar (Wednesday)
  • Bottled Water in Conference personalized
  • Educational Round Tables BOOKED


  • Promotional Material in conference bag
  • Social Media Pre-conference Solo Post
  • 1 Company Representative
  • Visibility on Conference Website Home Page

2ND MATE | $25,000 per each option


  • Coffee Sponsorship with personalized coffee cups BOOKED
  • Breakfast Co-Sponsorship (1) Remaining with personalized napkins
  • Elevator Door Clings inside door of Sky and Earth elevators
  • Hotel Key Card personalized BOOKED
  • Cigar Station with personalized cigar band BOOKED
  • Candy Bar at Cocktail Reception with personalized candy bags BOOKED


  • Promotional Material in conference bag
  • Social Media Pre-conference Solo Post
  • 2 Company Representatives
  • Visibility on Conference Website Home Page

1ST MATE | $30,000 per each option


  • Liquor Bar at Cocktail Reception with premium signature drink
  • Gateway Lounge Area with banner
  • Thursday Lunch To-Go with personalized napkins


  • Promotional Material in conference bag
  • Social Media Pre-conference Solo Post
  • Post Conference Video Post
  • 2 Company Representatives
  • Visibility on Conference Website Home Page

CAPTAIN | $40,000 per each option


  • Conference Lanyards personalized BOOKED
  • Wednesday Lunch Co-Sponsorship (1) Remaining with personalized napkins
  • Conference Themed Photos with vendor logo and personalized picture frames


  • Promotional Material in conference bag
  • Social Media Pre-conference Solo Post
  • Post Conference Video Post
  • 3 Company Representatives
  • Visibility on Conference Website Home Page

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 Monday, June 24, 2024 (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.


Join us on Tuesday, July 16, 2024, from 5-7 PM EST; you will not want to miss it!

Details Coming Soon!


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

2021: Reimbur$ement-Con

2022: Lights, Camera, REIMBURSEMENT!

2023: Roaring reimbursement


Please email us at info@zhealthcare.com if you have any questions.

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