Medicare 3: SNF Skilled Services

Medicare 3: SNF Skilled Services 

Medicare Part 3 provides the learner with an insight into the Centers for Medicare and Medicaid Services (CMS) definition of skilled services and skilled level of care. In this module we dive into the various aspects of skilled nursing and rehabilitation services, look at some potentially nonskilled services, and explain how the Administrative Level of Care Presumption of Coverage regulations pertain to Medicare coverage.

 

This course is designed for MDS nurses, administrative nurses and administrators in the LTC setting.

$50.00

Hours: 1.00
REL-PAC-0-M3SNFSS

Certificates

Certificates provided by accrediting body (0 Match)

Course Details

Course Code: REL-PAC-0-M3SNFSS
Hours: 1
Type: Online Course
Content Expiration Date: 12/31/2022
Learning Objectives:
Identify the four factors that must be met to be covered by Medicare SNF skilled services.
Identify the criteria required to meet the definition of a Medicare skilled level of care.
Identify the current CMS rules related to skilled rehabilitation services.
Identify teaching and training activities as a SNF skilled level of care.
Identify services that are often considered nonskilled.
Identify SNF Medicare coverage rules related to the Administrative Presumption of Coverage.

Outline:
Section 1: Introduction

About This Course

Learning Objectives

Section 2: General Skilled Level of Care Requirements

Daily Basis Criterion

Practical Matter Criterion

Leave of Absences

Review

Summary

Section 3: Definition of Skilled Services

Three Reasons for Skilled Services

Skilled Nursing Services

Direct Skilled Services

Indirect Skilled Nursing Services

Management and Evaluation of the Resident Care Plan

Examples

Observation and Assessment of the Resident’s Condition

Review

Summary

Section 4: Skilled Rehabilitation Services

Therapy Services

Therapy Procedures and Modalities

Maintenance Therapy

Therapy Services to Develop Maintenance Program

Review

Summary

Section 5: Teaching and Training Activities and Potentially Non-Skilled Services

Review

Summary

Section 6: Administrative Level of Care Presumption

Top PDPM Categories

Review

Summary

Section 8: Conclusion

Summary

Course Contributors

References

Congratulations!

Exam and Brain Sparks

Instructor: Ron Orth RN, CHC, CMAC, AHIMA-Approved ICD-10-CM Trainer
Ronald Orth, RN, CMAC, CHC  obtained a nursing degree from Milwaukee Area Technical College in 1985 and a B. A. in Health Care Administration from Concordia University in 1996. Mr. Orth possesses over 30 years of nursing experience with over 20 of those in the Skilled Nursing industry. Mr. Orth has extensive experience in teaching Medicare regulations to healthcare providers both in the US and internationally. Mr. Orth is currently the Post-acute Care Curriculum Designer and is certified in Healthcare Compliance through the Compliance Certification Board (CCB). Ron has also successfully completed the Infection Control Officer training through the AHCA and is an AHIMA approved ICD-10-CM trainer. Disclosure: Ron Orth RN, CHC, CMAC, AHIMA-Approved ICD-10-CM Trainer has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Instructor: Kim Matthews, RN
Kimberly Matthews, RN obtained a nursing degree from Western Kentucky University in 1998.  Ms. Matthews possesses over 20 years of nursing experience with over 17 of those in the Skilled Nursing industry.  Ms. Matthews has extensive experience in MDS, restorative nursing programs, and nursing management.  Ms. Matthews is currently a Post Acute Care Content writer and subject matter expert for MDS. Disclosure: Kim Matthews, RN 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: Administrators; 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.