$15.00

i 1.00 Hours

Course Overview

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.

About the Course Author

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

Heather Macalis has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.

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Accreditation Information

Certificates provided by accrediting body (9 Match)

  • American Occupational Therapy Association

    1.00HOURS

    Relias LLC is an approved provider of continuing education courses by the American Occupational Therapy Association. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

    Category: Professional Issues.

    This activity is approved for 1.0 contact hours.
  • Florida Board of Occupational Therapy

    1.00HOURS

    This course has been approved by the Florida Board of Occupational Therapy for 1.0 contact hours, approval number 20-813008.
  • Alabama State Board of Occupational Therapy

    1.00HOURS

    Alabama State Board Of Occupational Therapy (CEBroker Provider #50-290).

    Occupational Therapists will receive 1.0 contact hours for participating in this course.
  • Arizona Board of Occupational Therapy Examiners

    1.00HOURS

    Arizona Board Of Occupational Therapy Examiners (CEBroker Provider #50-290).

    Occupational Therapists will receive 1.0 contact hours for participating in this course.
  • Georgia State Board of Occupational Therapy

    1.00HOURS

    Georgia State Board of Occupational Therapy (CEBroker Provider #50-290)
    Occupational Therapists will receive 1.0 contact hours for participating in this course.
  • South Carolina Board of Occupational Therapy

    1.00HOURS

    South Carolina Board Of Occupational Therapy (CEBroker Provider #50-290)
    Occupational Therapists will receive 1.0 contact hours for participating in this course.
  • Louisiana State Board Medical Examiners- Occupational Therapy

    1.00HOURS

    Louisiana State Board of Medical Examiners - Occupational Therapy (CEBroker Provider #50-290)
    Occupational Therapists will receive 1.0 contact hours for participating in this course.
  • Mississippi State Department of Health- Occupational Therapy

    1.00HOURS

    Mississippi State Department of Health- Occupational Therapy (CEBroker Provider #50-290)
    Occupational Therapists will receive 1.0 contact hours for participating in this course.
  • Tennessee Board of Occupational Therapy

    1.00HOURS

    Tennessee Board of Occupational Therapy (CEBroker Provider #50-290)
    Occupational Therapists will receive 1.0 contact hours for participating in this course.


Course Details
  • Course Code:

    REL-RTS-0-MDRIGOT
  • Hours:

    1.00
  • Type:

    Online Course
  • Release Date:

    2021-03-01
  • Expiration Date:

    2022-01-31
  • Learning Objectives:

    Identify how to document appropriate goals based on patient presentation that validate the need for skilled therapy to meet Medicare Requirements.; Recognize five documentation requirements related to the provision of services under Medicare Part A.; 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
  • Target Audience:

    The target audience for this course is: Advanced, Entry, Intermediate level Occupational Therapists; in the following settings: Post-Acute Care, Rehabilitation Settings.
  • 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.
  • Disclosures:

    Expert Reviewers, Instructors, and Staff Writers disclosures will be listed above after the individuals' biographical paragraph. All other members involved within the planning of this educational activity have declared no conflict of interest exists when planning and developing this course.