Sign up to get free evidence-based articles, exclusive discounts, and insights from industry-leaders.
Email could not be subscribed.
Thank you for signing up!
presented by Maureen McCarthy, BS, RN, RAC-MT, QCP-MT, DNS-MT, RAC-MTA and Ellen R. Strunk, PT, MS, GCS, ACEEAA, CHC, RAC-CT
Financial: Ellen R. Strunk and Maureen McCarthy receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.
Nonfinancial: Ellen R. Strunk and Maureen McCarthy has no competing nonfinancial interests or relationships with regard to the content presented in this course.
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.
Maureen McCarthy, BS, RN, RAC-MT, QCP-MT, DNS-MT, RAC-MTA
Maureen is the president of Celtic Consulting, LLC, a clinical reimbursement, clinical operations, and compliance advisory firm. She is also the CEO of MDSRescue, an organization that provides temporary MDS completion services across the country. Recognized as an industry leader in clinical reimbursement for long-term care, Maureen has been a registered nurse for more than…
Read full bioEllen R. Strunk, PT, MS, GCS, ACEEAA, CHC, RAC-CT
Ellen R. Strunk has worked in various roles and settings as a clinician, manager/director, and policy expert. Ellen is an expert at helping customers understand the Centers for Medicare & Medicaid Services (CMS) prospective payment systems in the skilled nursing facility and home health settings, as well as outpatient therapy billing for all provider types.…
Read full bioEmail could not be subscribed.
Thank you for signing up!
Thank you!
1. Why This Course Matters
Our current health care environment is evolving. Some would call it a period of disruption. As providers, we must ensure our documentation accurately provides the right picture of the patient, such as an accurate diagnosis and an accurate description of the skilled services the patient needs. If we do this, we can do our part in ensuring policymakers have the right data upon which to make decisions.
2. Key Definitions to Articulate
The Patient-Driven Payment Model has taught us that in order to get an accurate and appropriate picture of the patient’s needs, there are key pieces of information that must be collected. The Medicare manuals provide examples of what skilled nursing and therapy services are. But just writing these terms down on a piece of paper does not make them skilled services. This chapter will help clinicians articulate what those terms mean in the day-to-day life of a nurse and therapist.
3. Qualifying Criteria for Skilled Care in Medicare Parts A and B
Clinicians who work in skilled nursing facilities need to have a basic understanding of the various parts of Medicare their residents may have access to. There are key similarities between the Part A and Part B Medicare benefits in a SNF, and there are also differences. The purpose of this chapter is not to provide a deep dive into the nuances of the Medicare program, but to provide an overview of the Medicare Part A and Medicare Part B benefits in the skilled nursing facility so nurses and therapists have a context as we talk about documentation requirements.
More Courses in this Series
Email could not be subscribed.
Thank you for signing up!
For larger groups (25+ seats), request a demo to learn more about solution options and pricing for your organization. For detailed pricing and self-service check-out, visit Plans & Pricing.
Fill out the form below to learn about our solution and pricing for your organization. For other questions or support, visit our contact page.
Fill out the form below to learn about our solution and pricing for your organization. For other questions or support, visit our contact page.