Profile
Overview
of Medicare entitlement, eligibility and coverage criteria leading
into samples
and examples of supporting and non-supporting skilled documentation.
Recommended
Audience
Nursing Staff, Nursing Management, MDS Coordinators,
Administrators, Social Workers and Therapists.
Objectives
I. Learner will be able to summarize universal documentation
guidelines.
II. The learner will be able to determine Medicare Coverage Criteria/Skilled
Care.
III. The learner will be able to identify skilled care terminology.
IV. The learner will be able to compose nursing documentation that
supports Part B skilled care.
Goals
This program will enable healthcare providers to provide quality healthcare
through an understanding of the Medicare Reimbursement system in a
skilled nursing facility.
Content
- Overview
- Medicare Entitlement
- Medicare Eligibility
- Medicare Coverage
Criteria
- Daily Notes
(each shift)
- Skilled Care
Criteria (identification of skilled care)
- Inherent
Complexity
- Management
of Care Plan
- Observation
and Assessment
- Teaching
and Training
- Core Components
(diagnoses driven)
- Systems Assessments
(neurological, pulmonary)
- ADL discussion
incorporated into nurses notes
- Fever (vital
signs)
- Admission
Note
- Shift Note
