Medicare Series

This four-part series provides a detailed overview of the components of Medicare eligibility and coverage, then Medicare Part A beneficiary requirements, CMS definitions of skilled services, and clinical documentation requirements of Medicare Part A for Long-Term Care.

Part 1 provides the learner with an overview of the Medicare program (Parts A, B, C, & D), the different component parts, and who may be eligible to participate in the Medicare program. We also briefly introduce the learner to some of the differences between traditional Medicare and Medicare Part C programs.

Part 2 provides the learner with an in-depth look at the criteria required for a Medicare beneficiary to access their Medicare Part A SNF benefits. In this module we will look at the “technical” criteria including the 3-day hospital stay, 30-day transfer requirement, and Physician certifications and recertifications

Part 3 provides the learner with an insight into the CMS Definition of skilled services and a skilled level of care. This module dives into the different aspects of skilled nursing and rehab services. looks at some potentially nonskilled services and also explains how the Administrative Presumption of Coverage regulations pertain to Medicare coverage.

Medicare Part 4 provides the learner with some guidance and considerations related to documentation of skilled services. The clinical record serves as the official and sole source of the care that is provided to a resident during a SNF stay. SNF facility nursing and rehab staff need to ensure their documentation can support not only that a skilled service has been provided but also that those services were reasonable and necessary for the treatment of the resident’s illness or injury. In this module we provide some guidance on documenting to support a skilled level of care.


Included Courses

Course Details

If you require special accommodations to complete this module, please contact Relias Customer Support here.