Describe your experience with key long-term care regulations and compliance processes (for example Medicare/Medicaid requirements, state survey expectations, and clinical documentation such as MDS). What compliance challenge have you handled and what was your role?

I’ve managed Medicare/Medicaid requirements, state surveys, and MDS processes across two SNFs, working with interdisciplinary teams of 8–12 clinicians. I led MDS accuracy initiatives that improved coding accuracy from about 85% to 98% in four months, which protected roughly $150,000 in quarterly revenue. When we received a citation for inconsistent MDS documentation and potential payment denials, I led a root-cause review, audited 120 charts in 10 days, corrected 18 assessments, and coordinated education for 30 nursing and therapy staff. I also updated our audit checklist and implemented twice-weekly peer reviews. During the next state survey our citation count dropped 50% and surveyors praised our corrected processes. I emphasize measurable audits, staff training, and clear escalation paths to keep compliance sustainable.