Program Book

NASL 27 th Annual Meeting
October 16-18, 2016
Gaylord Opryland Resort & Convention Center
Nashville, Tennessee
Conference Program

Wifi provided by
Network: SelectRehab
Password: nasl2016
Presentations, Program and Who’s Who available at:
https://www.nasl.org/eweb/DynamicPage.aspx?Site= NA
SL&WebCode= 16NASLAnnualInfo

From Our President
Welcome Fellow NASL Members and Guests:
I' m excited for you as you engage in the 27th NASL Annual Meeting!
Regretfully, because of international business travel, this year' s conference is out of my
reach. I fully expect you' ll reconnect with colleagues and welcome new and potential
NASL members. Our organization represents the best in leadership and the highest
quality post-acute service providers in the industry. Our conference agenda represents the
groundbreaking work we do in creating a voice for members with legislators, policy makers and those
influencing the way healthcare is delivered in this country.
As you know, the stakes are higher than ever as our national health system undergoes the most extensive
reform since its inception. We at NASL are encouraged and fully supportive of the Triple Aim principlesbetter
care, better quality, lower overall cost to the system. Influencing how we achieve that aim defines our
work-NASL could not be better positioned. Our efforts in developing quality measures for rehab services,
refining the parameters for meaningful use as it applies to the electronic medical health record, lobbying for
policy that supports services of lab, diagnostics and products all serve to preserve high standards of care,
timely and affordable access for patients and responsible stewardship of health insurance benefits.
This year NASL staff and member leaders have been particularly prolific and successful in producing
comments to proposed legislation and policies that influence practice and payment. These areas include PPS
reform, alternative and new payment models, quality reporting, and coding reimbursement. NASL is sought
after for consultation and recommendation. We are recognized on Capitol Hill for our presence in legislative
offices lobbying for beneficiaries’ access to affordable care and our expertise. We' ve made headway
regarding Part B therapy Manual Medical Review moving to a new auditor, recognition of LTPAC' s role in
health IT, working with the professional associations on therapy compliance and developing a new clinical
laboratory payment model.
Earlier this year our Board of Directors met for an energized and productive strategy session. We focused on
the future of our organization-devising plans for better serving our mission and reaching more members. Our
goal is to leverage our leadership position and reinforce our voice (made strong only by membership) to
continue to shape a value-based care delivery system supported by a reimbursement system that fosters
quality through measureable outcome.
I am privileged to work with an exceptional staff led by Cynthia Morton and a committed Board of Directors.
It has been my pleasure working alongside these remarkable individuals as your President and I thank you for
the support you have given me these last three years. I' m also grateful to our sponsors for this conference as
well as our speakers. I wish you a productive, enlightening and inspired conference experience. I ask you to
join in with our team and recommit to the work that is making a positive difference!
All the best,
Garry R. Pezzano, MS/CCC-SLP
Senior Vice President of Genesis Rehabilitation Services and
NASL President
1 NASL 27 th Annual Meeting

Contents
Wifi Info/Downloading Presentations
Inside Front Cover
From our President 1
Welcome 3
Schedule of Events 4-7
Speakers 8-13
Pre-Conference Sessions 14-15
Committee Agendas:
Combined NASL Committee Meeting 16
Diagnostic Testing 17
Medical Services 18-19
Information Technology 20-21
Gaylord Opryland Meeting Rooms Map 22
Nashville Attractions 23
NASL Membership 24-25
Sponsors
NASL 2017 Winter Conference
Inside Back Cover
Back Cover
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NASL 27 th Annual Meeting

Welcome
Dear NASL Members & Guests:
As I write to welcome you to NASL’s 27 th Annual Meeting, we are in the midst of the
strangest Presidential Election in recent history. Whatever the outcome, our nation will
swear in a new president on January 20, 2017. The next President, along with the new
Congress, will help shape future health care policy. We expect that future will mean
that the long term and post-acute care sector will remain a target for reform.
This year’s been remarkable in terms of the volume and pace of health care reform.
NASL has been there – representing you – every step of the way. Together, we’ve
commented on countless regulations, responded to myriad requests for information,
supplied the government with outstanding subject matter experts for regulatory
development work, worked closely with other stakeholders in limiting harmful legislation and we’ve interacted
directly with CMS, ONC and Congress on your behalf. So many NASL members devote significant resources
– sharing your time and expertise –helping NASL interpret various policy changes. We are grateful for your
boundless energy, enthusiasm and support of our mission. NASL members consistently tell us that it’s the time
working together that is so rewarding. We agree and invite our guests to join us.
Next year will bring even more challenges. The Part B therapy cap exceptions process is set to expire. We’re
proposing a new payment model for clinical laboratory services. And our information technology developers
also face a challenging Congressional environment. CMS is pursuing complete reform of the Part A payment
system and the agency will continue rolling out more mandatory bundling demonstrations.
NASL is your voice in our Nation’s capital, where we are proud to advocate on your behalf and for the quality
care that you deliver each day.
We are constantly looking for new ways to bring even more value to your membership in NASL. This fall,
we’ve begun a new partnership with a well-regarded government affairs firm, Chamber Hill Strategies, who
will extend our ability to represent your interests in Congress and with the federal government. I look forward
to introducing our new partner to you at our meeting in Nashville and at our Winter Legislative & Regulatory
Conference in February.
I want to thank you for your membership in NASL and for joining us here in Nashville. It’s through these
conferences that we learn, gain insights, network, build relationships and collectively move our profession
forward on behalf of the patients that we serve. I also want to thank all of our sponsoring organizations for their
support in helping to make this experience possible. Enjoy the conference!
Warmest Regards,
Cynthia K. Morton, MPA
Executive Vice President
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NASL 27 th Annual Meeting

Schedule of Events
Sunday, October 16
7:00am – 5:00pm NASL Registration Open Hermitage AB Foyer
Level M, Magnolia Mezz
1:00-2:00pm
2:00pm
2:30-3:00pm
3:00-3:15pm
3:15-4:30pm
Welcome to Tennessee Social
Hosted by NASL Tennessee members:
Brookdale Senior Living
Functional Pathways
Welcome and Introductions
Cynthia Morton, MPA
Executive Vice President, National
Association for the Support of Long Term
Care (NASL)
U.S. Rep. Marsha Blackburn (R-TN)
Vice Chair of the House Energy &
Commerce Committee
Networking Break
Sponsored by Flagship Rehabilitation
Sharing Patient Information at
Admission and Discharge: A
Panel Discussion from All Angles
Panelists:
Judi Kulus, MSN, MAT, RN, NHA,
DNS-CT, RAC-MT
Vice President of Curriculum
Development, American Association of
Nurse Assessment Coordination (AANAC)
Robert Latz, PT, DPT, CHCIO
Chief Information Officer, Trinity
Rehabilitation Services
Dheeraj Mahajan, MD, CMD, CIC
President and CEO, Chicago Internal
Medicine Practice and Research
(CIMPAR, SC); Clinical Associate
Professor of Medicine, University of
Illinois at Chicago
Terrence O’Malley, MD
Medical Director for Non-Acute Care
Services, Partners HealthCare,
Massachusetts General Hospital
Mary Van de Kamp, MS/CCC-CSLP
Senior Vice President, Quality
Kindred Rehabilitation Services
Cynthia Morton, MPA
Executive Vice President, NASL
Hermitage AB Foyer
Level M, Magnolia Mezz
Hermitage AB
Level M, Magnolia Mezz
Hermitage AB
Level M, Magnolia Mezz
Hermitage AB Foyer
Level M, Magnolia Mezz
Hermitage AB
Level M, Magnolia Mezz
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NASL 27 th Annual Meeting

4:30-5:30pm
6:00-7:30pm
Contradictions and Falsity – What
Providers Should Know About
the False Claims Act
David C. Beck, Esq.
Chief Legal Officer, Golden Living
NASL Cocktails and Connections
Opening Night Reception
Hosted by NASL Platinum Level Sponsors:
ACPlus
Aegis Therapies
Arnall Golden Gregory
Genesis Rehab Services
ONR, Inc.
CEU360
RehabCare
Reliant Rehabilitation
Hermitage AB
Level M, Magnolia Mezz
Delta Pavilion
Delta Section, Atrium
Monday, October 17
7:00am NASL Registration Open Hermitage AB Foyer
Level M, Magnolia Mezz
7:00-8:00am NASL Attendees’ Breakfast Hermitage AB Foyer
Level M, Magnolia Mezz
8:00-9:00am
9:00am
9:00-11:00am
9:15-11:00am
11:30am-3:00pm
2:00-3:00pm
3:00-4:00pm
NASL Joint Committee Meeting
See p. 16 for agenda
Refreshments
Sponsored by HCR ManorCare
NASL Medical Services
Committee Meeting
See pp. 17-18 for Agenda
NASL IT Committee Meeting
See pp. 19-20 for Agenda
Expo Hall
Visit NASL in Booth #336
Ryman Exhibit Hall, Lower Level
NASL Diagnostic Testing
Committee Meeting
See p. 16 for Agenda
What Remains on the Table for
2016 and the Legislative Outlook
for the Election and Beyond
Hermitage AB
Level M, Magnolia Mezz
Hermitage AB Foyer
Level M, Magnolia Mezz
Hermitage AB
Level M, Magnolia Mezz
Ryman Studio FG
Level O, Convention Center
Additional registration
required: $70 per day addon
fee.
Hermitage AB
Level M, Magnolia Mezz
Hermitage AB
Level M, Magnolia Mezz
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NASL 27 th Annual Meeting

Clifton Porter, II
Senior Vice President of Government
Relations, American Health Care
Association (AHCA)
4:00 -4:15pm Networking Break
Sponsored by Heritage Healthcare
Hermitage AB Foyer
Level M, Magnolia Mezz
4:15-5:15pm
Introduction of New NASL Policy
Counsel - Making Connections on
Capitol Hill
Katie Zirkelbach, Principal
Chamber Hill Strategies,
NASL Policy Counsel
Hermitage AB
Level M, Magnolia Mezz
Tuesday, October 18
7:00am NASL Registration Open Hermitage AB
Level M, Magnolia Mess
7:00 – 8:00am NASL Breakfast:
Hermitage AB
Level M, Magnolia Mezz
Table Talk with the NASL Board of
Directors
8:00 – 9:00am NASL Annual Business Meeting
Announcement of NASL Board
Election Results
9:00 – 10:00am The Creative Destruction of Health
Care as We Know it: Reimagining
Care Through Health IT
Hermitage AB
Level M, Magnolia Mezz
Hermitage AB
Level M, Magnolia Mezz
10:00-11:00am
Hank Fanberg
Director, Technology Advocacy and
Innovation
CHRISTUS Health
Legislative and Regulatory
Update
Healthcare Issues in the New
Congress: What Would Medicare
Look Like Under a Clinton/Trump
Presidency?
Hermitage AB
Level M, Magnolia Mezz
11:00am-2:00pm
Cynthia Morton, MPA
Executive Vice President, NASL
Expo Hall
Visit NASL in Booth #336
Ryman Exhibit Hall, Lower Level
Additional registration
required: $70 per day addon
fee.
1:30-3:30pm NASL Board of Directors Meeting Hermitage AB
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NASL 27 th Annual Meeting

Refreshments provided by Paragon
Rehabilitation
Level M, Magnolia Mezz
Presentations, Program and Who’s Who available at:
https://www.nasl.org/eweb/DynamicPage.aspx?
Site= NASL&WebCode= 16NASLAnnualInfo
Wifi provided by
Network: SelectRehab
Password: nasl2016
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NASL 27 th Annual Meeting

Speakers
David C. Beck, Esq.
Chief Legal Officer, Golden Living
David has been practicing health care law since 1985, with a particular emphasis on long
term care issues, in private practice and as in-house counsel. A graduate of the University of
Virginia Law School, he served for ten years as the Executive Director of the District of
Columbia Health Care Association. In 2006, David was appointed Executive Vice President
and Chief Legal Officer for the Golden Living family of companies, which operate skilled nursing facilities
and hospice agencies, and provide rehabilitation therapy services. David is responsible for ensuring effective
legal guidance in all phases of the companies’ operations, advising the Board and management on legal
strategy and business matters, and oversight of risk management for Golden Living.
Congressman Marsha Blackburn (R-TN)
U.S. House of Representatives
Vice Chair of the House Energy & Commerce Committee
Congressman Blackburn’s reputation for focusing on freedom, free people and free
markets boosted her from the Tennessee Senate to the U.S. House of Representatives in
2002 to represent Tennessee’s 7th Congressional District. She continued the fight for
accountable government, becoming a leader in Congress and a leading voice advocating for a small, efficient
federal government that is accountable to its citizens. She became the first woman in the state to win a
Congressional seat in her own right.
Congressman Blackburn is often selected by her colleagues to lead the charge for common sense reform. In
February 2010 she was selected to represent conservative views on health care reform at the President’s Blair
House Summit. In 2012, she co-chaired the platform for the Republican Convention. She has served as a
Republican whip every Congress, holds a seat on the House Energy and Commerce Committee serving as
Vice Chair – the committee has jurisdiction over health care, energy regulation, and telecommunications
issues. In 2015 Congressman Marsha Blackburn was chosen to Chair the Select Investigative Panel to review
medical procedures and abortion business practices. She has also chaired the Privacy and Data Security
Working Group. She has also earned a special reputation as a bi-partisan leader and policy expert on
telecommunications issues and intellectual property rights.
Marsha and her husband Chuck live in Williamson County, Tennessee. They have two children and two
grandsons. Blackburn is a native of Laurel, Mississippi and graduate of Mississippi State University.
Carmen Elliott
Vice President, Payment and Practice Management
American Physical Therapy Association (APTA)
Carmen is the Vice President of Payment and Practice Management at the American
Physical Therapy Association. Her primary responsibilities at APTA includes providing
leadership, strategic direction, knowledge, and expertise to the association in the area of
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NASL 27 th Annual Meeting

payment policy and practice management. Carmen also communicates with members about policy issues,
including physical therapy coverage, payment, coding, managed care contracting, utilization review and
management, and auto liability coverage.
Prior to joining APTA in September 2006, Carmen was a Practice Administrator for a large physical therapy
practice in Southern Maryland, in which she oversaw the daily operations of 5 outpatient PT clinics. She also
worked as a Network Development Specialist for a Managed Care Organization in which she was in charge of
developing a provider network and contracting with providers in the Southern Maryland region. Carmen
received her BS degree from Bowie State University, Bowie, MD and a MS degree in Health Care
Management from Marymount University, Arlington, VA.
Hank Fanberg
Director, Technology Advocacy and Innovation
CHRISTUS Health
Mr. Fanberg is a member of the Office of the CIO and Director, Technology Advocacy for
CHRISTUS Health, one of the nation’s largest faith based Catholic Health Care Systems with facilities in
seven states and three countries. He supports CHRISTUS’ system wide strategy for health information
technology, focusing on legislative/regulatory policy and its impact to the health system and HIT’s role in
enabling efficient, convenient, safe, person-centric and cost effective care. He helped found and was the
Executive Director for the Health Information Network of South Texas (ONC HIE) and is the associate
project coordinator for the FCC’s Rural Health Care Pilot Program in Texas. He is the immediate past
president of the Louisiana HIMSS chapter and is a member of National HIMSS’ Professional Development
Committee. He chairs the Louisiana Department of Health’s Health IT Advisory Committee. Mr. Fanberg is
active in a number of associations including the American Telemedicine Association, AcademyHealth (where
he is vice chair of its Health IT interest group), The American Hospital Association’s Health IT work group,
and the Personal Connected Health Alliance. Mr. Fanberg received his M.B.A. from The University of New
Orleans. He received his undergraduate degree from Rutgers College; he graduated from Loyola (New
Orleans) University’s Institute of Politics and has guest lectured at Johns Hopkins University’s M.B.A. . for
physicians. He is adjunct faculty at Texas A&M University – Corpus Christi’s School of Nursing and The
University of North Carolina – Chapel Hill’s Gillings School of Global Public Health.
Jeremy Furniss, MS, OTR/L
Coding and Payment Specialist
American Occupatonal Therapy Association (AOTA)
Jeremy Furniss is the coding and payment specialist at AOTA. In this role, Jeremy works on the
Association' s activities in coding and reimbursement, supportive analysis and advocacy. He provides support
to the Association' s Advisory team to the American Medical Association. Jeremy has worked as an
occupational therapist and manager in a variety of settings including skilled nursing facilities, specialty
hospitals and community based practice. Jeremy holds an M.S. in occupational therapy and a B.S. in health
sciences from the University of Central Arkansas. He is currently pursuing his OTD in translational science
and post-acute care at The George Washington University.
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NASL 27 th Annual Meeting

Judi Kulus, MSN, MAT, RN, NHA, DNS-CT, RAC-MT
Vice President of Curriculum Development, American Association of Nurse
Assessment Coordination (AANAC)
Judi has been a certified AANAC RAC-CT Master Teacher since 2004 and currently serves
as the vice president of curriculum development for AANAC where she oversees and
coordinates the association’s certification and educational content. Judi’s career began as a
nursing home administrator in 1987. She holds a master’s degree in nursing with a focus on informatics and a
master’s degree in education. She has been a registered nurse since 2000. For the past 29 years, Judi has
focused much of her work on supporting facilities in managing the RAI process, MDS coding, and nursing
system quality improvement. She has served as an operations manager, case mix & quality assurance
consultant, as well as crisis control administrator, for a variety of organizations including facilities in multiple
states.
Robert Latz, PT, DPT, CHCIO
Chief Information Officer, Trinity Rehabilitation Services
Robert Latz, PT, DPT, CHCIO is the only Physical Therapist in the United States to
complete the requirements to receive the HealthCare CIO certification from CHIME
(College of Health Information Management Executives). He is active within NASL as the
Co-Chair of the IMPACT Act Implementation Workgroup and as a member of the IT
Committee. Bob is also active within the APTA as a member of the Orthopedic; Home Health; and Geriatric
Sections. Currently, Dr. Latz serves as the Chief Information Officer for Trinity Rehabilitation Services,
which improves human function by providing contracted therapy services in Post-Acute Care settings. He is
also the CIO for Passage Healthcare, which owns three campuses providing elder care services in SNF, AL,
and IL settings.
Dheeraj Mahajan, MD, CMD, CIC
President and CEO, Chicago Internal Medicine Practice and Research
(CIMPAR, SC); Clinical Assistant Professor of Medicine, University of Illinois at
Chicago
Dr. Dheeraj Mahajan is President and CEO of the Chicago Internal Medicine Practice
and Research (CIMPAR, SC) and a Clinical Associate Professor of Medicine at
University of Illinois at Chicago. He is a Fellow in Geriatric Medicine and certified in Internal Medicine
and Geriatric Medicine. In 2014, he became a Fellow of the Institute of Medicine, Chicago. Additionally,
Dr. Mahajan is a certified medical director and is certified in infection control and epidemiology. He
specializes in cross-continuum provider alignment and is a nationally recognized speaker on post-acute care
and quality improvement. Dr. Mahajan started as a solo practitioner in 2006 and today his group practice
has grown to eight physicians, three APNs, one PA-C and 22 full time employees. He currently is the
medical director at two CMS-rated five star skilled nursing facilities. At one of these facilities, he has
implemented a transitional care unit (TCU) using evidenced based protocols, peer review best practices,
strict admission order sets and protocols resulting in dramatically reducing hospital readmission rates,
improved outcomes, and patient and family satisfaction.
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NASL 27 th Annual Meeting

Christina Metzler
Chief Public Affairs Officer
American Occupational Therapy Association (AOTA).
In her position as Chief Public Affairs Officer at AOTA, Chris Metzler directs the Federal,
State and Regulatory Policy Departments. She has been at AOTA for twenty-one years, and
has worked for national associations in Washington in health care, disability policy and long term services
issues for 30 years.
In her current position, she is the chief lobbyist for AOTA and also runs the other government and external
activities including reimbursement, state policy, health care reform and coding. Ms. Metzler directs these
activities and the grassroots program which supports advocacy on the part of occupational therapy
practitioners. She is the editor of the Health Policy Perspectives column in the American Journal of
Occupational Therapy. She is also responsible for the AOTPAC, the political arm of the profession, raising
funds and disbursing them to candidates for the House and the Senate who support occupational therapy.
Cynthia Morton, MPA
Executive Vice President, NASL
Cynthia Morton joined NASL as the Executive Vice President in 2010. Prior to joining NASL,
Cynthia served as the Vice President for Political Affairs for the American Health Care
Association/National Center for Assisted Living (AHCA/NCAL). In over ten years with
AHCA/NCAL, she represented the long term care profession before Congress, the Washington
health care community, and the media. She also was responsible for increasing Members’ of Congress
knowledge of and relationships with those in the long term care profession. In previous positions, she has
developed policy and positions primarily on Medicaid and related long term care issues such as provider tax,
Intergovernmental Transfers, dual eligibles, ICF/MR and developmental disability issues, Medicaid block
grants, waivers and reform.
Cynthia graduated from James Madison University with a Bachelor of Science in political science and holds a
Master’s of Public Administration from Virginia Commonwealth University.
Terrence O’Malley, MD
Medical Director for Non-Acute Care Services, Partners HealthCare,
Massachusetts General Hospital
Terrence O’Malley, M.D., is Medical Director for Non-Acute Care Services at Partners
HealthCare System, an integrated health care delivery system in Eastern Massachusetts
founded by Massachusetts General Hospital and Brigham and Women’s Hospital. Dr.
O’Malley is also Medical Director at the North End Rehabilitation and Nursing Center in Boston. Dr.
O’Malley has directed a large primary care group practice, developed an extensive nursing home program
and held many clinical and administrative positions at the practice, hospital and network level.
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NASL 27 th Annual Meeting

Dr. O’Malley received his Doctor of Medicine from Cornell University Medical College,
completed his internship and residency in primary care internal medicine at the Massachusetts
General Hospital and subsequently became certified in geriatrics.
Lorren Pettit, MS MBA
Vice President, Market Research
Healthcare Information and Management Systems Society (HIMSS)
Lorren Pettit is Vice President, Market Research for HIMSS, a global, cause-based, not-forprofit
organization focused on better health through information technology (IT). In this
role, Pettit works with an expert team offering clients strategic guidance toward achieving
sustainable growth and market leadership positioning. Before joining HIMSS Analytics in 2011, he served as
Managing Consultant with Press Ganey Associates, Inc. working with hospital executives throughout Canada
and the United States on efforts to improve relationships between administrators and physicians/employees.
Pettit has been a healthcare strategist for more than 20 years, with experience in healthcare operations and
corporate planning. He has held strategic planning roles in various acute and non-acute healthcare settings, as
well as within the hospital group purchasing and hospital services industries.
Clifton J. Porter, II
Senior Vice President of Government Affairs
American Health Care Association (AHCA)
Mr. Porter is a tested government relations professional with over 26 years of experience in
health care management, advocacy and policy development. As Senior VP of Government
Affiars for AHCA, the largest long term and post acute care advocacy organization in the
country, Clif directs and oversees all federal, grassroots and public policy functions in the Association’s
Government Relations department. He also serves as top lobbyist on every facet of the organization’s
legislative agenda, including Medicare and Medicaid reimbursements as well as new policy initiatives.
Mary Van de Kamp, MS/CCC-CSLP
Senior Vice President Quality
Kindred Rehabilitation Services
As the Senior Vice President of Quality for Kindred Rehabilitation Services, Mary van de
Kamp’s responsibilities include providing innovative clinical leadership to internal and
external customers and helping assess, monitor, and improve quality and clinical goals and
outcomes. She helps establish process oversight and reporting in collaboration with compliance and legal
departments. Ms. Van de Kamp has served in leadership positions with Kindred since 1995, in both clinical
and operational capacities with the primary focus of attaining clinical excellence. She has served as a
technical expert for many organizations, including the American Health Care Association, the American
Speech-Language-Hearing Association, the National Association for the Support of Long Term Care, and the
Centers for Medicare & Medicaid Services, supporting appropriate quality and reimbursement in post-acute
rehabilitation services. Prior to joining Kindred Healthcare in 1995, Mary provided Speech-Language
Pathology services across the spectrum of care in all rehabilitation settings.
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NASL 27 th Annual Meeting

Katie Zirkelbach
Principal
Chamber Hill Strategies,
NASL Policy Counsel
Katie Zirkelbach has over a decade of experience managing government relations and
lobbying activities for a variety of health care organizations at the federal and state levels.
Prior to joining Chamber Hill, Katie served as Senior Director of Congressional Affairs at Anthem Inc., a
FORTUNE 40 company and the largest health insurer in the U.S. by enrollment. In that capacity, she was the
lead liaison to Republicans on Capitol Hill, with a focus on outreach to House leadership and key committees
of jurisdiction. At Anthem she worked on a wide variety of health care issues, including implementation of
the Affordable Care Act (ACA), leading congressional advocacy on Medicaid for the largest Medicaid
managed care company in the U.S., and helping to manage congressional outreach on cybersecurity during
the largest health care cyber data breach in U.S. history.
Katie graduated from the University of South Carolina’s Moore School of Business with a degree in Business
Administration.
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NASL 27 th Annual Meeting

Pre-Conference Sessions – Sunday, October 16
NASL/AHCA Symposium on Rehabilitation Therapy:
IMPACT is Here! Why Rehab Matters Even More to Improve SNF Outcomes
This is a ticketed event - additional registration required: $125 add-on fee with your NASL Annual Meeting registration; $299 for
Symposium registration only. Visit AHCA Registration to sign up on-site.
Sunday, October 16
7:30-8:00am Sponsors’ Coffee Delta D
8:00am-1:00pm
SNF and Rehab Providers are
Facing an Increasingly
Challenging Environment: What
Does the Data Show us About
Patients in Ultra-High
Delta D
Cynthia Morton, MPA
Executive VP, NASL
The Devil is in the Details…A
panel discussion from members
serving on technical expert
panels to CMS’ quality measure
development
Joanne Wisely, MA CCC/SLP
Vice President Legislative Advocacy,
Genesis Rehab Services/Respiratory
Health Services
Cathy Lipton, MD
Senior Medical Director, Optum Health
Natalie Leland, PhD, OTR/L, BCG,
FAOTA
Assistant Professor, Division of
Occupational Science and Occupational
Therapy, University of Southern
California
Can there be life without therapy
minutes? How does SNF
rehabilitation fit in alternative
payment models that bundle
payments and pay for value
instead of volume? – A panel
discussion
Nanci Wilson, PT, DPT
Vice President, Research and
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NASL 27 th Annual Meeting

Development, Plum Healthcare
Mary Van De Kamp, MS/CCC-CSLP
Senior Vice President, Quality and Care
Management, Kindred Healthcare
Mark Besch, PT
Vice President Clinical Services, Aegis
Therapies
Phil Fogg Jr., MBA
President, Consonus Healthcare
Kathy Owens, MSN, NP
SAVA Senior Care
NASL/AHCA Health Information Technology Intensive Track
All registrants of the NASL 27 th Annual Meeting are invited to attend. No additional registration is required, but your
NASL name badge will be required for entry.
9:00am-12:00pm
Ignore Technology at Your Own
Peril: Defining Success in Value-
Based Health Care
Panelists:
Larry Wolf
Principal, Strategic Health Network,
Chicago, Illinois
Terrence O'Malley, MD
Medical Director for Non-Acute Care
Services, Partners HealthCare,
Massachusetts General Hospital
Pam Russell, MHS
Senior Consultant, LTPAC Specialist
CedarBridge Group
Bayou C-D
Follow us on Twitter @NASLdc.
For conference updates, follow #NASLConference.
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NASL 27 th Annual Meeting

Committee Agendas
NASL Joint IT & Medical Services
Committee Meeting
John Damgaard, IT Committee Chair
Martha Schram, Medical Services Committee Chair
Bob Latz, Co-Chair NASL IMPACT Act Workgroup
Joanne Wisely, Co-Chair NASL IMPACT Act Workgroup
October 17, 2016 8:00-9:00am
Hermitage AB, Gaylord Opryland,
Nashville, Tennessee
8:00 – 9:00am Joint NASL Committee Session
Open Discussion on Operational Issues
• Section GG
• Payroll Based Journaling
• CMS’ Requirements of Participation Final Rule
Action
Discussion
Other Issues
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NASL 27 th Annual Meeting

Committee Agendas
NASL Diagnostic Testing Committee Meeting
Alan Morrison, Chair
October 17, 2016 2:00-3:00pm
Hermitage AB, Gaylord Opryland,
Nashville, Tennessee
1. Campaign for Development of Bundled Clinical Lab Payment
Model
Action Needed
Discussion
a. Met with staff from E&C, W&M
b. Legislative spec submitted to the committee staff
c. Committee staff will direct legislative counsel to draft up
legislative language.
d. Committee staff will coordinate contacting CMS for
technical support.
i. We may be included in meeting with CMS
e. Will be submitted to CBO for scoring
f. Need to continue communicating with supporters
i. Schedule meetings with selected offices
g. Develop 3 rd party/stakeholder support
i. Drafted stakeholder letter
1. AMDA, AHCA, Nurse practitioners, ACLA,
Argentum and others
2. SNF chains
3. Others?
2. Modernization of Portable x-ray regulations
a. Relationship with American Portable Diagnostic Providers
(APDA) (rebranded NAPXP).
Discussion
3. Membership Discussion
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NASL 27 th Annual Meeting

Committee Agendas
NASL Medical Services Committee Meeting
Martha Schram, Chair
Mike Capstick, Vice Chair
October 17, 2016 9:00-11:00am
Hermitage AB, Gaylord Opryland,
Nashville, Tennessee
8:00 – 9:00am Joint NASL Committee Session
9:00 – 9:30am Payer Issues Workgroup Co-Chairs’ Report
Mindy Lankenau
Amy Hobbs
9:30 – 10:00am Working with the Professional Associations – Co-Chairs’
Report
Leigh Ann Frick
Laura Dennis
10:00 – 11:00am Understanding the New Occupational and Physical Therapy
CPT Codes
Christina Metzler and Jeremy Furniss, AOTA
Carmen Elliott, APTA
Action Needed
Report
Update
Presentation
Resources:
Draft Minutes, September 8, 2016, Medical Services Committee Conference Call:
http://nasl.mymemberfuse.com/resources2/view/profile/id/70786
Additional Resources
The Medicare and Medicaid Programs; Reform of Requirements for Long Term Care Facilities Final
Rule: CMS published the Medicare and Medicaid Programs; Reform of Requirements for Long Term Care
Facilities Final Rule in the Federal Register on October 4, 2016. The final rule is available here:
https://www.federalregister.gov/documents/2016/10/04/2016-23503/medicare-and-medicaid-programsreform-of-requirements-for-long-term-care-facilities
Provisions are phased in and a summary of selected
provisions as well as the timetable for implementation can be found in NASL’s summary, which is available
here: http://nasl.mymemberfuse.com/resources2/view/profile/id/70725
Consensus Document on Compliance: NASL and three therapy organizations - AOTA, APTA,
and ASHA – issued a joint consensus statement on Compliance Reporting:
https://netforum.avectra.com/Public/DocumentGenerate.aspx?wbn_key= d4ac220b-10ff-4c30-a547-
89546aee42d9.pdf
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Medicare Post-Acute Care Value-Based Purchasing Act (H. R. 3298): Read the PAC Coalition’s letter:
https://netforum.avectra.com/Public/DocumentGenerate.aspx?wbn_key= cb48e410-9f55-4d66-8069-
eb8c3277ef4f.pdf. NASL also sent the Committee a comment letter on September 20, which further refines
the PAC coalition' s recommended changes . Read NASL’s letter:
https://netforum.avectra.com/Public/DocumentGenerate.aspx?wbn_key= 865c3c07-a863-4e03-a086-
b6dd13f0effc.pdf
CY 2017 Medicare Physician Fee Schedule Proposed Rule: NASL’s summary and analysis document is
available here: http://nasl.mymemberfuse.com/resources2/view/profile/id/69338 NASL’s comments are
available here: http://nasl.mymemberfuse.com/resources2/view/profile/id/70141
SNF PPS Final Rule: CMS’ Fact Sheet is available here:
https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2016-Fact-sheets-items/2016-07-
29.html?DLPage= 1&DLEntries= 10&DLSort= 0&DLSortDir= descending; the August 5, Federal Register
Notice, https://www.gpo.gov/fdsys/pkg/FR-2016-08-05/pdf/2016-18113.pdf
SNF Quality Reporting Program Fact Sheet: CMS released a new Fact Sheet
[https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-
Instruments/NursingHomeQualityInits/Downloads/SNF-QRP-Requirements-for-FY18-Reporting-Year-Fact-
Sheet_updated.pdfSheet] on the SNF Quality Reporting Program for the FY2018 reporting year,
highlighting that data collection begins October 1, 2016 and runs through December 31, 2016 for this first
reporting year. Providers have until May 15, 2017 to correct and/or submit their quality data. CMS’ July
12, 2016 Quality Reporting Program Call Slides - https://www.cms.gov/Outreach-and-
Education/Outreach/NPC/Downloads/2016-07-12-SNF-QRP-Presentation.pdf
Cardiac Bundled Payment Models Proposed Rule: Only July 25, CMS proposed a new bundled payment
model for cardiac care and an extension of the existing bundled payment model for hip replacement to other
hip surgeries. NASL submitted comments to CMS, which focused on the significant section on health IT and
detailed barriers to and opportunities for increased LTPAC health IT adoption/use. Read NASL’s comments
here. For more information about the Cardiac Bundled Payment Models:
https://innovation.cms.gov/initatives/epm/
Webinars and Slides
July 20, 2016 NASL’s and AANAC’s webinar, “Countdown to MDS Section GG –
Collaboration Between Nursing and Therapy, resources:
http://nasl.mymemberfuse.com/groups/profile/resources/groupid/8968
Replay of July 20, 2016 NASL/AANAC Countdown to Section GG webinar:
http://nasl.mymemberfuse.com/resources2/view/profile/id/68706
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Committee Agendas
NASL IT Committee Meeting
John Damgaard, Chair
October 17, 2016 9:15-11:00am
Ryman Studio FG, Gaylord Opryland,
Nashville, Tennessee
I. Welcome and Call to Order – John Damgaard
Action Needed
II.
Legislative & Regulatory Issues – Donna Doneski
Develop Strategy Around CMS’ Questions on IT Incentives in the
Cardiac Care Bundle Proposed Rule
NASL’s comments to CMS on the cardiac care bundle (2 nd
mandatory bundled payment model) proposed rule focused on key
health IT section, detailing barriers to and opportunities for
increased LTPAC health IT adoption/use. The Committee will
discuss a strategy to leverage CMS’ questions in the Cardiac Care
Bundle Proposed Rule. Strategy to include:
Report &
Discussion
Discern which CMS office has responsibility for the IT
provision.
Request meetings with appropriate CMS staff to explore CMS’
thinking.
Request meetings with ONC staff to ascertain their level of
involvement.
Identify a Congressional champion(s) to support this issue on
our behalf
o Consider a Member of Congress representing a district
where an NASL member IT company is headquartered
o Ask Congressional offices for support during NASL Winter
Conference Hill visits.
o Build support with other stakeholder organizations.
CMS finalized information needed to transfer when the patient
does in the Medicare & Medicaid Reform of the Requirements for
Participation Final Rule.
Read NASL’s summary of the final rule. The list of data elements
appears on Pages 68733 (top of middle column) and 68841(under
Discharge Planning section) of the final rule.
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ONC Update
Report
ONC is expected to release educational materials for LTPAC
providers promoting health IT adoption and use. Materials will
include the PowerPoint that NASL reviewed as well as videos
and other collaterals.
ONC has released an EHR Contract Guide and the Health IT
Playbook.
ONC is updating the 2014 Edition guidance on interoperability
for the 2015 Edition. ONC encourages LTPAC
vendors/providers to adopt interoperable functionality that
would allow them to exchange information particularly related
to TOC and care planning.
NASL is reviewing the DRAFT 2017 Interoperability Standards
Advisory. Comments are due October 24, 2016.
III.
New Business – Invited Speaker
Lorren Pettit
VP HIS & Research
HIMSS North America
Update
Upcoming IT-related Meetings
NASL Winter Legislative & Regulatory Conference –
February 6 – 8, 2017
HIMSS 2017 – February 19 – 23, 2017
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Gaylord Opryland
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Nashville Attractions
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NASL Membership
Accelerated Care Plus Corp.
AEGIS Therapies
AFFIRMA Rehabilitation Inc.
American Health Associates
American Health Care
AOTA
APTA
Arbor Rehabilitation
Arnall Golden Gregory, LLP
ASHA
Association
Baker Donelson
Benchmark Therapies
Blue Sky Therapy
Brookdale Senior Living
Cadia Healthcare
Casamba Inc.
Centrex Rehab
CEU360
Columbine Health Systems
Comfort Company
Concept Rehab
Consonus
Cornell Communications, Inc.
Dart Chart Systems
Direct Supply
e-Health Data Solutions
Encore Rehabilitation Services
Five Star Rehab & Wellness
Flagship Rehabilitation
Functional Pathways
Fusion Therapy Solutions
Genesis Rehabilitation Services
Halcyon Rehabilitation
HCR/ManorCare
Health Care Software, Inc.
Healthcare Therapy Services
HealthMEDX, Inc.
Heritage Health Care/HealthPRO
Hill-Rom
Infinity Rehab
Innovative Healthcare Partners
Integra Rehabilitation
Intelligent Therapy Staffing
Iowa Health Care Association
JD & Associates Enterprises
Key Rehabilitation, Inc.
Lagniappe Rehabilitation Services
Lantis Enterprises
Legacy Healthcare Services, Inc.
LG CNS
Life Care Centers of America
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NASL 27 th Annual Meeting

Life Care Services
Marcum LLP
MatrixCare
Medline Industries
MidSouth Rehab Services
Nexion Health Management
NTT DATA Long Term Care Solutions
Ober, Kaler, Grimes and Shriver, PC
ONR, Inc.
Optima Healthcare Solutions
Paragon Healthcare Group
Paragon Rehabilitation, Inc.
Signature Rehab
Synergy Care, Inc.
Texas Health Care Association
The Rehab Department
Therapute, LLC
Therapy Management Corporation
Touchpoints Therapy
TridentUSA Health Services
Trinity Rehabilitation
TTC
White Oak Management, Inc.
Zimmet Healthcare Services
Point Click Care
Preferred Therapy Solutions
proCARE Therapy Services, LLC
Pruitt Health
QS/1 Data Systems
Quantum Age Collaborative
Rehab Pro
Rehab Resources & Consulting
RehabCare/Kindred Healthcare
Reinsel Kuntz Lesher LLP
Not an NASL Member?
Contact us at membership@NASL.org for
information and to join.
Reliant Rehabilitation
Relias Learning
Restore Therapy
Schryver Medical
Select Rehabilitation Inc.
Senior Rehab Solutions
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Sponsors

NASL 2017 Winter Conference
February 6-8
Loews Madison Hotel
Washington, DC
Plan Now to Attend!