by HealthCap
Heart-toHeart is the podcast of HealthCap® Insurance and HealthCap® Risk Management Services, HealthCap® Risk Management Services is the leader in long term care risk management—helping you reduce liability risk by improving your quality of care. We help you take your community where it is and partner with you to make it better. Our risk managers are experienced clinical experts who have stood in the shoes of those who provide the care. We are with you.
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Publishing Since
11/15/2019
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April 1, 2026
In this episode of Heart-to-Heart with HealthCap, Angie Szumlinski, Director of Risk Management at HealthCap, talks with Cindy Johnson, Vice President of Clinical Compliance for Atrium Centers, about the latest CMS regulatory changes taking effect at the end of March. Together, they break down the intent behind these updates, including the push for increased oversight and greater consistency in surveys, while also acknowledging the challenges providers face in keeping up with frequent and complex regulatory shifts. The conversation explores how these changes are playing out in real time, from staffing shortages, particularly among RNs, to the evolving makeup of survey teams. Angie and Cindy also discuss the growing concerns around surveyor discretion, the potential use of photography during surveys, and what that could mean for resident privacy and community operations. The episode wraps with a deep dive into past non-compliance, offering practical insight into how communities can approach documentation and preparedness in a way that supports both compliance and quality care.
November 24, 2025
In this episode of Heart to Heart with HealthCap, Angie Szumlinski sits down with Jane Schoof, Director of Utilization at Atrium Living Centers, to discuss the most significant changes to the MDS 3.0 RAI Manual (v1.20.1), focusing on falls and injuries. Together, they review how CMS has redefined what constitutes a fall, including incidents caused by "overwhelming external forces," and explain what should now be coded as an intercepted fall. The discussion sheds light on how these updates are designed to close reporting gaps between hospital claims and MDS coding, improve accuracy, and strengthen resident care. Jane also provides insight into the revised definitions of major injury and injury except major, sharing how clinicians can apply clinical judgment, documentation, and teamwork to code consistently. The conversation emphasizes the importance of clearly documenting every fall, whether it occurs in therapy or during routine care, to ensure coding accuracy and regulatory compliance. To help you implement these new standards, HealthCap has created two companion resources: the Comprehensive Reference Guide: Understanding the 2025 MDS 3.0 Changes and the Falls and Injuries Quick Reference Handout. Both documents offer examples, practical tips, and operational insights to help your community align its coding and training practices with the 2025 updates.
May 15, 2025
Angie Szumlinski interviews Melanie Flachs about Payroll-Based Journal reporting, RN coverage, and real-time tracking to help senior living operators improve star ratings through intentional staffing and data oversight.
Guests from recent episodes — sign up to see every guest that has ever appeared on this show.
Melanie Flachs
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Robin Hillier
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Gwynn Ryder
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Dr David Gifford
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Angie Szumlinski
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Cathy Hamblen
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Crystal Bowens
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Christina Nechiporchik
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Drew Flichak
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Glenn Van Ekeren
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Allyson Bakewell
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Dr Matthew Beacom
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Heart-toHeart is the podcast of HealthCap® Insurance and HealthCap® Risk Management Services, HealthCap® Risk Management Services is the leader in long term care risk management—helping you reduce liability risk by improving your quality of care.
We help you take your community where it is and partner with you to make it better. Our risk managers are experienced clinical experts who have stood in the shoes of those who provide the care. We are with you.
This podcast updates daily.
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