2012 Locations
July 27 – Greater San Francisco Area, CA
Location to be determined
August 24 – Soldotna, AK
Denali Conference Room, Central Peninsular Hospital
250 Hospital Place
Soldotna, AK 99669-7559
September 14 – Houston, TX
Location to be determined
September 21 – Greater Chicago Area, IL
Location to be determined
October 26 – Greater Philly, PA
Location to be determined
Program Highlights
1. MDS 3.0 ASSESSMENTS; COT, SOT, & EOT OMRAs and the rest, what the manual really says!
2. FACT vs. FICTION: Just how much do you REALLY KNOW about Medicare Part A?
3. RUGs IV: Determining appropriate RUG categories along with Index Maximization
4. DOCUMENTATION REQUIREMENTS: What you really need to make the reviewer happy.
5. DOCUMENTATION DIVIDE: How to get Nursing and Therapy on the same page
Registration
Download our brochure Mastering Medicare
Register by phone, fax, mail or use the this link to Register Online
Agenda: Day One
FACT vs. FICTION: Just how much do you really know about Medicare Part A?
COMPLIANCE AND MEDICAL NECESSITY: Providing necessary and reasonable Part A rehabilitation services
UNDERSTANDING PPS: Important terminology including ARD, ARD, CMI and others
ASSESSMENTS:Scheduled vs. Unscheduled; Mandatory vs. Voluntary; COT, SOT, EOT and payment periods
AM I DOING TO RIGHT?: Use of Individual vs. concurrent vs. group therapy, and aides and students
CLINICAL DOCUMENTATION: Knowing just what you need to support your claim and survive Medical Review
THE DOCUMENTATION DIVIDE: Getting Nursing and Therapy on the same page.
RESTORATIVE NURSING: Appropriate programs and providers plus rehab’s involvement
WHERE TO FIND THE INFORMATION: CMS, MACs and Others
Questions and Answer
Overview
Provision of therapy services in SNF continues to be under intense scrutiny from CMS, its Contractors and the Office of Inspector General (OIG). The confusing start to the implementation of the MDS 3.0 and RUG IV in 2010 has continued over into 2012.
The change in practice patterns in the 2011 fiscal year prompted a warning from the OIG and more changes by CMS to ensure that therapy services were being provided, not just appropriately based on the needs of the patient, but also being paid at the rate of actual treatment provided and not at the projected amount generated by the existing PPS assessment schedule.
Staff are struggling to understand the modification that were introduced with the MDS 3.0, not only in the Final Rule in July 2011 but ongoing in the training sessions provided after it was published contradicting some of the published regulations. These more recent changes are included in the updated RAI Manual effective April 1st 2012.
This course includes such topics as; MDS 3.0 Assessments; RUGS IV payments, Case Mix Index and Index Maximization; what CMS determines is “skilled” therapy along with different treatment modes; how to clearly support the medical necessity of therapy services through both nursing and therapy documentation, assuring proper reimbursement, and the appropriate use of Restorative Nursing services.
Case studies and exercises will provide the participant with a fuller understanding of the regulations and their impact on reimbursement. With this knowledge the licensed professional is empowered to make decisions to assure Medicare compliance, quality of care and maximize legal reimbursement.
CONTINUING EDUCATION ACCREDITATION:
In states requiring approval for CEUs, this course provides 7.5 (60 minute) actual contact hours
Occupational Therapy
Texas: Meets requirements for Type 1 continuing education 7.5 Contact Hours
Florida:Florida Board of Occupational Therapy course approval 20-320374
States not requiring prior approval – Course has 7.5 actual contact hours; for states with 50 minute units, this course is applicable for 9 units.
Physical Therapy
Florida: Course approval #PMA120318575 for 9.0 CEUs
Texas: Course approval #50903A for 7.5 CCUs
Illinois: Department of Professional Regulation: CE provider #216-000139: 9 CEUs
California Course approval for 0.75 CEUs or 7.5 competency hours
States not requiring prior approval – Course has 7.5 contact hours; for states with 50 minute units, this course is applicable for 9 units.
Speech-Language Pathology
Florida Board of Speech-Language Pathology and Audiology: CE provider # 50-4853: 7.5 CEUs
This program is appropriate for 7.5 CEUs ( Non-Clinical)
Thank you, I have recently been searching for information about this topic for ages and yours is the best I have discovered so far.
When are you coming back to CA to do the seminar?
Hi Kimberly,
We are not ASHA accredited. Unfortunately ASHA makes it so hard we cannot afford to get the accreditation both in time and staff. The course is approved by the Florida Board of Speech-Language Pathology.
Sorry,
Pauline
Thsnk you for your great explaination on teh Medicare week. Very happy to have found this site!