Medicare Part A: A Guide for Occupational Therapists
Hours: 0.13 - 1.25
A thorough understanding of Medicare Part A guidelines is necessary for you to provide the best care for your patients and maximize reimbursement. 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. In this course, occupational therapy professionals will learn what services are covered under Medicare Part A, how to demonstrate your services are reasonable and necessary, and what documentation is required over the course of care. Documentation tips to support the skilled need for your services and enhance goal writing are presented.
A thorough understanding of Medicare Part A guidelines is necessary for you to provide the best care for your patients and maximize reimbursement. 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. In this course, occupational therapy professionals will learn what services are covered under Medicare Part A, how to demonstrate your services are reasonable and necessary, and what documentation is required over the course of care. Documentation tips to support the skilled need for your services and enhance goal writing are presented.
American Occupational Therapy Association
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Relias LLC is an AOTA Approved Provider of professional development. Course approval ID# APP#0000006040. This Distance Learning-Independent is offered at 0.1250 CEUs, Introductory, Professional Issues. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
Florida Board of Occupational Therapy
Florida Board of Occupational Therapy (CEBroker Provider #50-290)
Occupational Therapists will receive 1.25 contact hours.
Alabama State Board of Occupational Therapy
Alabama State Board Of Occupational Therapy (CEBroker Provider #50-290).
Occupational Therapists will receive 1.25 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 1.25 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 1.25 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 1.25 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 1.25 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 1.25 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 1.25 contact hours for participating in this course.
Oklahoma Board Of Medical Licensure And Supervision - Occupational Therapy
Oklahoma Board Of Medical Licensure And Supervision - Occupational Therapy (CEBroker Provider #50-290)
Occupational Therapists will receive 1.25 contact hours.
Determine what services are covered by Medicare Part A and the requirements to qualify for care in post-acute settings.
Define reasonable, necessary, and skilled therapy intervention, including rehabilitation and maintenance intervention.
Determine 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.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Medicare Rules and Regulations
Why It Matters
Medicare Programs
Medicare Benefit Policy Manual
Coverage Determinations
Medicare Part A Coverage
Review
Summary
Section 3: Occupational Therapy Services Covered Under Part A
Covered Therapy Services
What Is Reasonable?
What Is Necessary?
Review
Documenting Need for Skilled Services
Maintenance Therapy
Therapy Delivery Options
Review
Summary
Section 4: Medicare Documentation Requirements
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
Summary
Section 5: Conclusion
Course Summary
Course Contributors
Resources
References
Subject Matter Expert: Wendy Phillips, PT, BSPT
Wendy holds a Bachelor of Science degree from Florida State University in Biology, as well as a Bachelor of Science degree in Physical Therapy from Florida A&M University. She has more than 25 years of experience working as a Physical Therapist in multiple care settings, including acute care, inpatient rehab, independent living, assisted living, skilled nursing, and outpatient orthopedics. Wendy has a strong manual therapy background and has completed additional training in McConnell taping, geriatric care, McKenzie MDT, Maitland Mobilizations for the joints and spine. She is most passionate about using her manual skills to improve mobility and reduce pain in individuals of all ages. As a Lead Physical Therapy writer for Relias, Wendy enjoys being able to combine her clinical knowledge with her interest in research and staying up-to-date with changes and advances in the field of rehabilitation. Disclosure: Wendy Phillips, PT, BSPT discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee All of the relationships listed for this individual have been mitigated.Relevant Non-Financial Relationship with No Entities Exists as a Contributor All of the relationships listed for this individual have been mitigated.Reviewer: Christopher Meketansky, MS, OTR/L
Christopher Meketansky OTR/L graduated from Stony Brook University in 2017 with a Master of Science Degree in Occupational Therapy. He received training in manual therapy, specialized treatment for individuals with degenerative neurological disorders and post-stroke neurorehabilitation. He has worked in skilled nursing and home healthcare settings with experience treating patients with dementia, Alzheimer’s disease, Parkinson’s disease, balance impairments, and a myriad of other conditions impacting the older adult population.
Disclosure: Christopher Meketansky, MS, OTR/L discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee All of the relationships listed for this individual have been mitigated.Relevant Non-Financial Relationship with No Entities Exists as a Contributor All of the relationships listed for this individual have been mitigated.
The target audience for this course is: Occupational Therapists; in the following settings: Rehabilitation Settings.
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
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.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
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.
