Harmony Healthcare Leading the Way to Change

Medicare Nursing/Therapy Documentation in a Skilled Nursing Facility

Profile
Overview of Medicare entitlement, eligibility and coverage criteria leading into samples and examples of supporting and non-supporting skilled nursing and therapy documentation.

Recommended Audience
Physical Therapists, Occupational Therapists, Speech Pathologists, Nursing Staff, Nursing Management, Administrators and Social Workers.

Objectives
I. Learner will be able to summarize universal documentation guidelines.
II. The learner will be able to determine skilled care.
III. The learner will be able to identify skilled care terminology.
IV. The learner will be able to compose therapy documentation that exemplifies 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
  • Therapy Phraseology
  • Part B Therapy Caps
  • Therapy Samples/Examples
    • Progress Reports
    • Treatment Notes
    • 8 Minute Rule
    • 700/701 CMS Forms
    • Flow Sheets
    • Goal Writing

Home | Top of Page

Copyright © 2007 All Rights Reserved