A thorough understanding of Medicare Part A guidelines is necessary for you to provide the best care for your patients and maximize reimbursement. Occupational therapy professionals need to understand the documentation requirements given the (PDPM/PDGM) reimbursement models. No matter what the practice setting, the documentation is the only witness to whether the treatment was appropriate and necessary based on the patient's clinical presentation.
A thorough understanding of Medicare Part A guidelines is necessary for you to provide the best care for your patients and maximize reimbursement. Occupational therapy professionals need to understand the documentation requirements given the (PDPM/PDGM) reimbursement models. No matter what the practice setting, the documentation is the only witness to whether the treatment was appropriate and necessary based on the patient's clinical presentation.
Relias LLC is an approved provider of continuing education for occupational therapists by the American Occupational Therapy Association. AOTA does not endorse specific course content, products, or clinical procedures.
Course approval ID# APP#0000001780. This Distance Learning-Independent is offered at 0.1000 CEUs Introductory,Professional Issues.
This course has been approved by the Florida Board of Occupational Therapy for 1.00 contact hours, approval number 20-813008.
Alabama State Board Of Occupational Therapy (CEBroker Provider #50-290).
Arizona Board Of Occupational Therapy Examiners (CEBroker Provider #50-290).
Georgia State Board of Occupational Therapy (CEBroker Provider #50-290)
South Carolina Board Of Occupational Therapy (CEBroker Provider #50-290)
Occupational Therapists will receive 1.00 contact hours for participating in this course.
Louisiana State Board of Medical Examiners - Occupational Therapy (CEBroker Provider #50-290)
Mississippi State Department of Health- Occupational Therapy (CEBroker Provider #50-290)
Tennessee Board of Occupational Therapy (CEBroker Provider #50-290)
Occupational Therapists will receive 1.00 contact hours for participating in this course.
Outline:
Medicare Part A Requirements: A Guide for Occupational Therapists
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Medicare Rules and Regulations
Medicare Programs
Medicare Manuals
Coverage Determinations
Medicare Part A Coverage
Review
Summary
Section 3: Covered Occupational Therapy Services
Key Terms
Covered Therapy Services
What Is Reasonable?
What Is Necessary?
Review
Rehabilitative Therapy
Maintenance Therapy
Occupational Therapy Delivery Options
Review
Summary
Section 4: Medicare Documentation Requirements
Elements of Documentation
Patient Diagnosis
Initial Evaluation
Certification of the Plan of Care
Functional Goal Setting
Review
Treatment Notes
Progress Notes
Discharge Summaries
Appropriate Application of Words
Clear Communication Through Documentation
Summary
Section 5: Conclusion
Summary
Course Contributor
Resources
References
Heather Macalis attended Widener University, Temple University and completed her master’s degree in occupational therapy from Philadelphia University. Heather has over 18 years of clinical experience in pediatric home care, outpatient orthopedic clinics, skilled nursing facilities, inpatient rehab and acute care. She also has extensive training in prosthetics, orthotics, and power wheelchair assessments. Heather has been a Director of Rehab in long term care settings for the past 15 years
Disclosure: Heather Macalis, MS, OTR/L has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
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