Documentation and Reimbursement in Wound Care

Documentation and Reimbursement in Wound Care 

There are many skills that a clinician must have in regard to providing wound care including appropriate assessment and treatment. However, documentation of this assessment and care is critical to ensuring proper reimbursement. In this module, you will learn about documentation and reimbursement practices for wound care.

$19.00

Hours: 1.00
REL-RT-0-RN236C

Certificates

Certificates provided by accrediting body (7 Match)

California Board of Registered Nursing

1.0 HOURS


Provider approved by the California Board of Registered Nursing, CEP# 13791

Nurses will receive 1.00 contact hours for participating in this course.

District of Columbia Board of Nursing

1.0 HOURS


DC-RN -- District of Columbia Board of Nursing Approved Continuing Education program (CE Provider #50-290).

Nurses will receive 1.00 contact hours for participating in this course.

Florida Board of Nursing

1.0 HOURS


Florida Board of Nursing CE Provider #: 50-290

Nurses will receive 1.00 contact hours for participating in this course.

American Nurses Credentialing Center

1.0 HOURS


Relias, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses will receive 1.00 contact hours for participating in this course.

Georgia Board of Nursing

1.0 HOURS


Georgia Board of Nursing CE Provider #: 50-290

Nurses will receive 1.00 contact hours for participating in this course.

South Carolina Board of Nursing

1.0 HOURS


This program was approved by the South Carolina Board of Nursing Approved Continuing Education Program (CE provider #50-290) CE Broker Course # 20-[Custom_Code]

West Virginia Board of Registered Nursing

1.0 HOURS


Course Details

Course Code: REL-RT-0-RN236C
Hours: 1
Type: Online Course
Content Expiration Date: 11/30/2020
Learning Objectives:
Recall 3 elements required when documenting the description of a wound.
Describe 2 guidelines for setting-specific wound documentation.
List 2 short- and long-term goals in wound healing.
Identify 2 strategies to improve reimbursement.

Outline:
Section 1: Introduction
A. About this Course
B. Learning Objectives
Section 2: Comprehensive Wound Assessment
A. History and Physical
B. Skin and Wound Assessment
C. Wound Assessment Definitions
D. Wound Documentation
E. The Initial Evaluation Documentation
F. Subsequent Documentation
G. Photo Documentation
H. Photo Policy or Protocol
I. Review
J. Summary
Section 3: Setting Specific Assessment and Documentation
A. Home Health Documentation
B. OASIS Pressure Ulcer Items
C. OASIS Other Skin Problem Items
D. OASIS Definitions
E. Long-Term Care Documentation
F. MDS Pressure Ulcer Items
G. MDS Other Skin Problems
H. Review
I. Summary
Section 4: Limitations and Goals
A. Functional Limitations and Disability
B. Goals in Wound Healing
C. National Patient Safety Goals
D. Review
E. Summary
Section 5: Ins and Outs of Reimbursement
A. Insurance Guidelines
B. Insurance Differences
C. LCDs and NCDs
D. CPT and HCPCS Codes
E. Common Wound Care CPT and HCPCS Codes
F. ICD-10 Codes
G. Supplies/Dressings
H. Helpful Hints
I. Review
J. Summary
Section 6: Conclusion
A. Summary
B. Course Contributor
C. References
D. Congratulations!

Instructor: Hollie Smith Mangrum, PT, DPT, CWS
A national health professions educator, consultant and lecturer, Hollie brings over 20 years experience in wound care to her presentations. She is currently Program Director of the Wound Management Center that she opened in 2000 and has experience in all settings including acute, inpatient and outpatient, home health and skilled nursing. She also does consultation work in all settings. Ms. Smith has been a guest lecturer for various universities on wound care as well as providing continuing education programs for West Tennessee Healthcare. She has also presented numerous wound care seminars for Academy Medical Systems during the last 9 years. She is a Certified Wound Specialist and is an active member of the American Board of Wound Management, the American Physical Therapy Association and the Tennessee Physical Therapy Association. Hollie serves on the Board of Directors for the Association for Advancement of Wound Care and recently graduated with her Doctorate in Physical Therapy. Disclosure: Hollie Smith Mangrum, PT, DPT, CWS discloses the following potential conflict of interests/commercial interests: Relevant Non-Financial Relationship with AAWC as Speakers Bureau
Expert Reviewer: Cheryl Swann, RN-BC, BSN, WCC, LNHA
Cheryl Swann, RN-BC, BSN, WCC, LNHA has worked in long-term care for 20 years. Mrs. Swann has worked in many positions including Director of Nursing, Medicare Nurse Coordinator and Nursing Home Administrator. Cheryl is certified in both Gerontological nursing and wound care. In the past, she has assisted in the operations of multiple nursing facilities, including staffing, payroll, public health concerns, family member issues, management of consultant relationships (e.g. pharmacy, dietary, etc.), and as an intermediary between long-term care facilities and doctors. Mrs. Swann worked closely with federal monitors and the Office of Inspector General in developing an effective Continuous Quality Improvement and compliance program in her organization. Mrs. Swann has presented nationally regarding effective Quality Assurance, Restraint Reduction, Wound Prevention, CMS Five Star Quality Rating System and Developing a Corporate Compliance Program. Her expertise includes staff training and development, Quality Assurance and Performance Improvement initiatives, and policy development. Disclosure: Cheryl Swann, RN-BC, BSN, WCC, LNHA has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: intermediate level Dietitians; intermediate level Nurses; in the following settings: Post-Acute Care.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
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.
Accommodations
If you require special accommodations to complete this module, please contact Relias Customer Support here.