HMM, CPAs LLP is pleased to present our annual healthcare seminar on NOVEMBER 9, 2022 at the Melville Marriott Long Island. Join us as industry experts and thought leaders as they discuss the latest industry developments and trends, which are transforming Long Term Post-Acute Care organizations, their management teams, and other industry stakeholders. These initiatives are fundamentally changing the operating environment and will impact every aspect of your organization. This seminar will present strategies to prepare for these changes and achieve successful outcomes.

Earn up to 7 CEU’s for LNHAs or CPAs!

Kosher meals available upon request.
This seminar is sponsored by the



Time: 8:30 am – 8:35 am
 Suzanne Breit, CPA- Partner, HMM, CPAs LLP

Veteran Benefits in Long Term Care

Time: 8:35 am – 8:50 am
Fred Sganga, FACHE – Executive Director, Long Island State Veterans Home

Reimbursement Update

Time: 8:50 am – 9:50 am
  Joseph F. Martello, CPA – Managing Partner, HMM, CPAs LLP

Presentation Slides 

Big Brother is Watching

Learn what your SNF must do to remain in compliance the NHRA and FDCPA and protect your bottom line

The Consumer Financial Protection Bureau (“CFPB”) and Center for Medicare & Medicaid Services’ (“CMS”) September 8, 2022 “Notice Letter” to all nursing facilities and their debt collectors, made it clear that the Federal government and state agencies will be monitoring nursing home collection practices and initiating enforcement actions against those nursing homes and their debt collectors whose actions are in violation of the Nursing Home Reform Act, the Fair Debt Collections Practices Act (“FDCPA”) and the Fair Credit Reporting Act (“FCRA”).

This presentation will take a deep dive into the sweeping changes to the FDCPA and NY State law and provide attendees with the tips and tools they need to avoid being the target of a FDCPA suit or an enforcement action by the Feds and/or NY state, while still collecting on their outstanding receivables.

Time: 9:40 am – 10:40 am
Ken Kern, EsqSenior Partner, Cona Elder Law
Kyle Stefurak, Esq- Senior Associate, Cona Elder Law

Presentation Slides

COVID 1135 Waiver Impact on Accounts Receivables

Time: 10:50 am – 11:05 am 
Speaker:  Israel Rosenberg– CEO, Comprehensive A/R Solutions

Healthcare Industry Update

This session will focus on and provide an update to the pending litigation challenging the validity of the spending and staffing mandates passed by the NY State Legislature in 2021 requiring nursing homes to spend at least 70% of their revenue on direct resident care with 40% on resident-facing staff while providing at last 3.5 hours of care per day for each resident. It will discuss changes to the proposed implementing regulations now being considered by the Public Health and Health Planning Council, how facilities can qualify for waivers, and the status of the State’s application for a State Plan Amendment to approve the changes in the State’s Medicaid Plan. It will also discuss the provision requiring a facility to pay back any revenue that exceeds 5% of its expenses in any year.

Time: 11:05 am – 12:00 pm
Speaker:  Cornelius D. Murray, Esq – O’Connell & Aronowitz

Dispatches from Flyover Country

While we all know in our heart of hearts that nothing worthwhile happens more than 90 miles from the Hudson River, there are a number of national trends and factors that will impact operations and reimbursement in NYS. The presenter, a life long New Yorker now living in exile in CT, will cover a number of topics including trends in Managed Care rates and contracts, FY2023 final rule, CMS’s abandonment of Rugs IV, federal staffing minimums, MedPac’s PAC PPS proposals, Medicaid reimbursement trends in other states, national trends in the “arbitrage rate” and the new REACH ACO. A buffet of topics designed to give tools to operators to navigate the rapidly changing SNF reimbursement environment.

Time: 1:00 pm – 2:00 pm 
Speak:  Jay Gormley – Chief Investment Officer & COO, Advisory, Zimmet Healthcare Group, LLC

Presentation Slide

Diversity, Equity, Inclusion (DEI Program) – What Every Organization should know to reduce its risks

The session is an overview for skilled nursing and assisted living executives of the encircling processes of a diversity, equity, and inclusion (DEI program). Presenters will provide DEI framework though the lenses of human resources/employment and resident rights for the management and staff, with the goal to promote buy-in for an ethical and inclusive workforce and ensuring risk reduction.


  • DEI understanding and awareness in your organization
  • Identify and mitigate DEI related organizational culture, policies and processes
  • Review DEI related employment laws
  • DEI framework and its impact of existing HR policies and processes and staff educatio

Time:  2:00 pm – 3:00 pm 
Josephine Bottitta, JD, MSW – One Group
Barbara McFadden, MSA, RN, LNHA, WCC – McFadden & Associates

Presentation Slides

Healthcare Jeopardy

The nursing home operating environment has become increasingly complex. Margins and Operating Efficiencies are being threatened by COVID, increased regulatory oversight, labor shortages, expense inflation, and stagnant reimbursement. Without a proper understanding of the these challenges, providers risk higher costs, lower margins, and regulatory penalties which reduce reimbursement. This session will include a detailed discussion of recent changes to the Nursing Home operating environment, including Medicaid reimbursement, minimum staffing requirements, and the “70/40/5” rules. The session will also discuss several operating challenges, how each challenge is measured quantitatively and qualitatively, and the strategies to avoid hitting operating pitfall

Time:  3:15 pm – 4:15 pm 
Suzanne Breit, CPA – Partner, HMM, CPAs LLP
James Budd, CPA – Partner, HMM, CPAs LLP
Brian P. Lee CPA, MBA – Partner, HMM, CPAs LLP
Stephen Schumann – Senior Manager, HMM, CPAs LLP

Presentation Slides

Concluding Remarks

Time:  4:15 pm – 4:30 pm 
Speaker:    Joseph F. Martello, CPA – Managing Partner, HMM, CPAs LLP