Medicare Part A Requirements: A Guide for Occupational Therapists
Hours: 1.00
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.
American Occupational Therapy Association
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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 0.10 CEUs Introductory,Professional Issues.
Florida Board of Occupational Therapy
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
Alabama State Board Of Occupational Therapy (CEBroker Provider #50-290).
Occupational Therapists will receive 1.00 contact hours for participating in this course.
Arizona Board of Occupational Therapy Examiners
Arizona Board Of Occupational Therapy Examiners (CEBroker Provider #50-290).
Occupational Therapists will receive 1.00 contact hours for participating in this course.
Georgia State Board of Occupational Therapy
Georgia State Board of Occupational Therapy (CEBroker Provider #50-290)
Occupational Therapists will receive 1.00 contact hours for participating in this course.
South Carolina Board of Occupational Therapy
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 Medical Examiners- Occupational Therapy
Louisiana State Board of Medical Examiners - Occupational Therapy (CEBroker Provider #50-290)
Occupational Therapists will receive 1.00 contact hours for participating in this course.
Mississippi State Department of Health- Occupational Therapy
Mississippi State Department of Health- Occupational Therapy (CEBroker Provider #50-290)
Occupational Therapists will receive 1.00 contact hours for participating in this course.
Tennessee Board of Occupational Therapy
Tennessee Board of Occupational Therapy (CEBroker Provider #50-290)
Occupational Therapists will receive 1.00 contact hours for participating in this course.
Recognize five documentation requirements related to the provision of services under Medicare Part A.
Identify how to document appropriate goals based on patient presentation that validate the need for skilled therapy to meet Medicare Requirements.
Recognize reasonable and necessary care.
Specify Medicare regulatory structure and coverage criteria.
Outline:
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 OT Services
Key Terms
Covered Therapy Services
What Is Reasonable?
What Is Necessary?
Review
Occupational 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
Treatment Notes
Progress Notes
Discharge Summaries
Appropriate Application of Words
Clear Communication Through Documentation
Review
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.
The target audience for this course is: Advanced, Entry, Intermediate level Occupational Therapists; in the following settings: Post-Acute Care, Rehabilitation Settings.
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
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If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
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All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.
