Reimbursement RoZetta Stone!

Join Zimmet Healthcare for our annual conference from August 12 to 14, 2025, at Mohegan Sun in Uncasville, Connecticut.

About

Five hundred years - that’s how long it takes for a language to evolve into patterns of speech unintelligible to its original form.  Linguistic evolution accelerates when a group is isolated from its larger community; intentionally or not, the Centers for Medicare & Medicaid Services (“CMS”) nailed it in less than fifty.

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Schedule at a Glance

Date

Time

Event

Tue, August 12

3:30 PM – 8:00 PM

5:00 PM – 7:00 PM

7:00 PM – 10:00 PM

Registration

Pre-Conference

Welcome Reception

Wed, August 13

7:00 AM – 9:00 AM

9:00 AM – 12:15 PM

12:15 PM – 1:30 PM

1:30 PM – 4:45 PM

4:45 PM

Registration / Breakfast

Sessions

Lunch

Sessions

Cocktail Reception

Thu, August 14

7:30 AM – 9:00 AM

7:45 AM – 8:45 AM

9:00 AM – 12:15 PM

12:15 PM

Breakfast

Educational Round Tables

Sessions

Conference Ends

Daily Itinerary

Time

Activity

3:30 PM – 8:00 PM

Registration

4:00 PM – 6:00 PM

Advisory Pre-Conference

Unlocking the SNF Code: A Strategic Expedition into Post-Acute Finance

Join Jay Gormley, Chief Investment Officer, and Steven Littlehale, Chief Innovation Officer of Zimmet Healthcare, for a two-hour, invitation-only educational session tailored specifically for banking and finance professionals navigating the complexities of the Skilled Nursing Facility (SNF) sector. This strategic deep dive will decode the current SNF landscape, covering reimbursement fundamentals, the PDPM transition, and the evolving dynamics of Medicare, Medicaid, and Medicare Advantage—all within a shifting regulatory environment. Participants will gain insights into geographic and financing trends, updates on the HUD 232 program, and the financial implications of Five Star ratings, clinical quality measures, and staffing benchmarks. With expert insights from Jay, Steven, and the rest of the Z-Team—along with practical, actionable takeaways—this session is your essential guide to identifying the risks, uncovering the opportunities, and leveraging the hidden drivers of value in post-acute care.

Speakers:

Jay Gormley and Steven Littlehale

5:00 PM – 7:00 PM

Pre-Conference

Deciphering the 2025 Regulatory Shifts in the Survey Process and MDS

Like deciphering an ancient text, understanding the ever-evolving regulations in skilled nursing facilities (SNFs) requires keen insight and the right tools. In 2025, SNFs must navigate a new compliance chapter as CMS unveils revised surveyor guidance, effective April 28, 2025, with heightened scrutiny on staffing, antipsychotic medication usage, and infection control. The revised F-tag 641 Accuracy of Assessment brings sharper expectations for MDS accuracy, emphasizing precise diagnosis coding and assessment patterns. Adding another layer of complexity, a new version of MDS 3.0, version 1.20.1, will be effective on October 1, 2025. This update introduces key changes to Therapy Services and unveils Section R: Health-Related Social Needs, requiring a deeper understanding of assessment and documentation practices.

This session is your RoZetta Stone for 2025 SNF survey compliance, translating regulatory changes into clear, actionable strategies. Attendees will gain the knowledge needed to ensure MDS accuracy, prevent F-tag citations, and maintain quality patient care year-round through an engaging review of survey process updates, compliance essentials, and best practices. Join us to decode these critical updates and equip your facility for success in the shifting landscape of long-term care compliance.

Speakers:

Alicia Cantinieri and Amy Greer

7:00 PM – 10:00 PM

Welcome Reception

Time

Activity

9:00 AM – 10:15 AM

Keynote

Lost in Translation

Languages evolve quickly in isolated communities, where vocabulary and grammar are shaped by environment and shared experience. For example, life in the Arctic Circle gave rise to dozens of common terms for snow across Inuit languages, but none for “sand”.  The same pattern holds across Skilled Nursing departments.The Medicare Cost Report and Minimum Data Set are isolated from each other and, as such, never cross-pollinated terminology. Operators cared little for activity outside their home state and rarely noticed as divergent policies, priorities, and practicalities fractured reimbursement’s fluency across the country. Now, as Medicaid payment methodologies are being updated, states often look to neighbors for inspiration—only to find that good ideas don’t translate across systems.This session is designed to break the language barrier with Modern Reimbursement Theory, a data-driven approach aligned with the SNFonomic realities of unique providers. Concepts discussed during this presentation set the tone for the entire conference.

Speakers:

Marc Zimmet

10:15 AM – 10:30 AM

Break

10:30 AM – 12:15 PM

The Great Translation: Deciphering PDPM and the Medicaid Argot

Much like the Rosetta Stone unlocked ancient languages, understanding the evolving relationship between PDPM and Medicaid requires decoding shifting methodologies and unpredictable rate-setting systems.Medicare’s Prospective Payment System has evolved, yet Medicaid remains state-specific, with many states delaying updates for so long that rates have become arbitrary. Now, PDPM is forcing change—whether states are ready or not. Facilities that relied on inflated CMIs from Rehab RUGs may face financial instability unless they adapt to Medicaid’s new clinical drivers. The key to success? Operational readiness.This session will provide essential strategies to ensure a smooth Medicaid shift, avoiding “rate shock” and financial disruption. Attendees will gain PDPM capture benchmarks, insights from states that have already transitioned, and innovative tools for compliant reimbursement management. The only way to ensure financial stability is through strategic preparation.

Speakers:

Michael Sciacca and Vincent Fedele

12:15 PM - 1:30 PM

Lunch

1:30 PM – 3:15 PM

The Due Diligence Dialect: Distinguishing Signal from Noise in Skilled Nursing Transactions

The Rosetta Stone provided scholars with the key to unlocking ancient languages, but in today’s skilled nursing landscape, the real challenge lies in deciphering which data points matter, and which are mere distractions. SFF, Five-Star, QRP, VBP, UPIC, and DPNA, all get our attention, but only sometimes are they meaningful. Lenders, advisors, and operators alike face an overwhelming flood of information—some signals of true risk, others simply noise that clouds decision-making.

This session will equip you with the analytical tools needed to identify rare events, uncover subtle financial erosion, and, most importantly, discern their true significance. Too often, transactions are delayed or abandoned due to misleading indicators, while critical red flags go unnoticed. Through real-world case studies, we will demonstrate how common CMS data, financial trends, and operational metrics can either clarify or distort reality.

Join us as we decode the “true language of risk and opportunity,” ensuring that your decisions—whether buying, selling, or advising—are based on “fact, not fiction.”

Speakers:

Steven Littlehale, Jay Gormley and Alicia Cantinieri

3:15 PM - 3:30 PM

Break

3:30 PM – 4:45 PM

Across State Lines: The Medicaid Conversation

Medicare is a national payment system, but states have wide latitude to establish rate-setting guidelines, funding, and enforcement for long-term care facilities. A half-century of accretive divergence has created state-specific Medicaid dialects so thick they can be unintelligible across borders. Non-comparative performance benchmarks and distorted pricing now require translation.This session will explore state-by-state challenges and opportunities facing Skilled Nursing providers. A panel of AHCA-affiliate Executive Directors will share the vocabulary that defines their environments, and the slang they want excised from their Medicaid dictionaries. The session is designed to accelerate the evolution of a new national reimbursement language.  Providers and payers must go beyond “conversational” – the goal is fluency, where policy drives payment, payment drives quality, and nothing is lost in translation.

Speakers:

Martin Allen, Andrew Aronson, Matthew Barret, Grant Beebe, Tara Gregorio, Stephen Hanse, Zachary Shamberg and Marc Zimmet

Time

Event

7:30 AM – 9:00 AM

Breakfast

8:00 AM – 9:00 AM

Round Tables

1. Five-Star – “Cracking the Five-Star Code”
2. CMI/Staffing: A CFO/Controllers Conundrum
3. Survey Prep: Mastering the Art of Compliance
4.Section GG and Beyond: Mastering Quality Metrics

Speakers

Gabby Neilsen, William Hartung, Amy Greer, Karen Welsh

9:00 AM – 9:30 AM

Charting the Course: The Future of Long-Term Care

The original Rosetta Stone didn’t just decode language—it created understanding across cultures. In today’s complex skilled nursing environment, we need that same kind of clarity to move forward with confidence and purpose.

In this candid and forward-looking session, Mark Parkinson reflects on the current state of long-term care and shares why he believes the future is brighter than it may seem. Drawing from years of leadership and policy experience, he offers real insights into what must happen next—from workforce recovery and reimbursement reform to changing the perception of the industry itself.

Attendees will explore the challenges ahead, but more importantly, gain a clear view of what success can look like—and how we get there together.

Don’t miss this opportunity to hear from one of the sector’s most respected voices—and walk away with renewed energy, direction, and purpose.

Speakers

Mark Parkinson

9:30 AM – 10:15 AM

Rewriting the Code: What SNFs Really Need from Technology Partners

Just as the Rosetta Stone unlocked the ability to interpret ancient texts, technology in skilled nursing should translate operational needs into meaningful solutions—not dictate them. Yet, too often, technology providers lead the conversation, telling SNFs what they need rather than listening to what actually drives efficiency, reimbursement, accuracy, and quality outcomes. The result? Facilities paying for costly, underutilized systems that fail to deliver real value.

It’s time to flip the script and put SNFs in the driver’s seat. This session will empower you to define your technology needs on your terms—from essential functionality to cost-effective pricing structures. Learn how to communicate clear expectations to vendors, push for solutions that truly support clinical and financial success, and stop paying for what you don’t use.

Join us to ensure that your technology investments work for you—not the other way around

Speakers

Vincent Fedele

10:15 AM – 10:30 AM

Break

10:30 AM – 11:15 AM

Nursing Home Reimbursement Compliance: Deciphering the Code for Success

The 2024 Comprehensive Error Rate Testing (“CERT”) Program report has unveiled a 17.2% improper payment error, and SNFs continue to lead in those Medicare claim error rates, primarily due to insufficient documentation. Like deciphering an ancient language, understanding the complexities of Medicare Part A compliance requires knowledge, preparation, and the right tools.  By uncovering the common audit findings that often leave providers lost in translation, we will help attendees interpret the patterns behind compliance errors and turn confusion into clarity.  Join us as we unravel the language of compliance through real-world case studies and audience engagement. Attendees will be equipped with the knowledge to interpret and apply compliance principles effectively, ensuring their facility’s success in the ever-evolving regulatory environment.

Speakers

Alicia Cantinieri

11:15 AM – 12:00 PM

Rehab-Connect: Decoding the Future of Therapy in Skilled Nursing

The “Rosetta Stone” revolutionized our understanding of ancient civilizations by providing a way to translate between three distinct scripts, unlocking knowledge that had been lost for centuries. Similarly, today’s skilled nursing facilities must bridge the gap between “clinical care, therapy, and technology”—translating fragmented data into meaningful action.  

This session will explore how “next-generation therapy management systems act as a modern Rosetta Stone”, integrating “nursing documentation, therapy data, and analytics” to create a more seamless and effective approach to rehabilitation management. Just as scholars used the Rosetta Stone to decipher hieroglyphics, SNFs can use “advanced therapy technology to interpret patterns, predict needs, and optimize care delivery”.  

Through real-world case studies, attendees will examine how “dual-integration with nursing documentation” enables “earlier clinical interventions”, improves care coordination, and ensures therapy is aligned with a facility’s financial and clinical objectives. The session will also explore “how embedded analytics” can be leveraged to “benchmark therapy performance, refine strategic planning, and strengthen relationships with hospital referral sources”.  

Speakers

Michael Sciacca & Robert Gross

12:00 PM – 12:15 PM

Summary

Daily Itinerary

Time in port

Activity

7:30 AM – 9:00 AM

Breakfast

7:45 AM – 8:45 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

Speakers:

  • Bill Hartung

  • Abby Nielsen

  • Dr. Chasey Sanchez

  • Kenneth Kelley and Sally FEcto

Time in port

Activity

7:30 AM – 9:00 AM

Breakfast

7:45 AM – 8:45 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

Speakers:

  • Bill Hartung

  • Abby Nielsen

  • Dr. Chasey Sanchez

  • Kenneth Kelley and Sally FEcto

Time in port

Activity

7:30 AM – 9:00 AM

Breakfast

7:45 AM – 8:45 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

Speakers:

  • Bill Hartung

  • Abby Nielsen

  • Dr. Chasey Sanchez

  • Kenneth Kelley and Sally FEcto

Speakers

Marc Zimmet

Chief Executive Officer
Zimmet Healthcare

Michael Sciacca

Chief Operating Officer
Zimmet Healthcare

Vincent Fedele

Partner
Zimmet Healthcare

Steven Littlehale

Chief Innovation Officer
Zimmet Healthcare

Jay Gormley

Chief Investment Officer & COO, Advisory
Zimmet Healthcare

Alicia Cantinieri

Managing Director, Clinical
Reimbursement &
Regulatory Compliance
Zimmet Healthcare

Robert Gross

VP of Therapy Consulting Services
Rehab-Connect

Mark Parkinson

Former President & CEO
AHCA/NCAL

Andrew Aronson

President & CEO
HCANJ

Matthew Barrett

President & CEO
CAHCF

Tara Gregorio

President
MSCA

Stephen Hanse

President & CEO
NYSHFA

Zachary Shamberg

President & CEO
PHCA

Amy Greer

Director of Quality
Innovations
Zimmet Healthcare

Martin Allen

Senior Vice President of Reimbursement Policy AHCA/NCAL

Grant Beebe

Director of Medicaid Policy AHCA/NCAL

Education Credits

Our conference supports professional growth by offering accredited education credits for LNHAs, CPAs, and RNs, providing attendees the opportunity to learn, engage, and earn valuable credits toward their licensure and certification.

LNHA

This program will be submitted for Continuing Education for up to a total of 12 participant hours from NAB/NCERS: 9 for the Main Program, 2 for the Pre-Conference Session, and 1 for the Education Round Tables.

CPA

Zimmet Healthcare is an approved CPE Sponsor with the New Jersey State Board of Accountancy. CPA registrants should check with their state board to confirm if these courses meet their CPE requirements.

RN

This activity is planned and implemented by Rutgers Biomedical and Health Sciences and Zimmet Healthcare Services Group. Rutgers is jointly accredited by ACCME, ACPE, and ANCC to provide continuing education for the healthcare team. Nursing contact hours pending.

Unlocking the
SNF Code

An invitation-only educational session tailored for banking and finance professionals operating in the Skilled Nursing sector.

Learn More

Sponsors

To learn more about sponsoring our event or for general questions, contact Eileen Seigal.

Conference Fees

Skilled Nursing Owner/Operator/Employee

$845

Other Industry Stakeholders

$1,545

Register Now

Cancellation Policy

Cancel before August 6th, 2025, for a 90% refund
Cancel on or after August 6th, 2025, for a 25% refund
If restrictions prohibit gatherings of our expected size, a full refund will be issued

Mohegan Sun

A world-class destination, Mohegan Sun offers an unmatched blend of New England’s finest dining, luxury hotel accommodations, retail shopping, live entertainment, and sporting events — all under one roof.

Conference Registration Required Before Booking

Conference registration and payment must be completed before booking a hotel room within the Zimmet Healthcare room block at Mohegan Sun. Once your registration is processed and payment is received, you will receive a direct booking link to secure your discounted room.

Zimmet Room Block Policy

Rooms in the Zimmet block are limited and available on a first-come, first-served basis exclusively for registered and paid conference attendees. Any hotel reservation made without a corresponding paid conference registration may be canceled by Mohegan Sun and/or Zimmet Healthcare without notice. Any forfeited deposit will be the responsibility of the individual.

Reservation Deadline

The deadline to book within the Zimmet block is Monday, July 28, 2025, or until the block is sold out — whichever comes first. No exceptions will be made after this date.

No Phone Reservations
Mohegan Sun will not accept phone reservations for the Zimmet discounted block. All reservations must be made using the direct link provided after registration and payment.

Pre-conference

Join us on Tuesday, August 12, 2025, from 5-7 PM EST; you will not want to miss it!

Additional details coming soon

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