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Building Your Case for Medical Necessity: The Nuts and Bolts of Skilled Therapy Documentation

Course: #9839Level: Introductory1.5 Hour 492 Reviews
VideoAudio

This course provides participants with an understanding of documentation requirements in a post-acute setting, including Medicare regulations and guidelines. It identifies why speech therapy services are denied and ways to mitigate the denial of skilled services, and describes how to document medical necessity.

Course created on August 24, 2021

Documentation and Reimbursement Neurogenics, Cognition, and Executive Function Veterans Affairs (VA) courses
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On Demand

Course Type: Video, Audio

CEUs/Hours Offered: ASHA/0.15 Introductory, Related; IACET/0.2; Kansas LTS-S1370/1.5; SAC/1.5

Learning Outcomes

  • checkmarkAfter this course, participants will be able to list 3 reasons SLP services are denied by payers in a post-acute setting.
  • checkmarkAfter this course, participants will be able to describe documentation requirements to support the provision of medically necessary services.
  • checkmarkAfter this course, participants will be able to identify examples of skilled therapy services documentation that support medical necessity and meet Medicare requirements for reimbursement.

Agenda

0-5 Minutes Introduction
5-10 Minutes Post-Acute Care Payment Models Part A\B\HH Eligibility
10-20 Minutes Part A/B/HH Reimbursement
20-25 Minutes Role of Documentation and Reason for Denials
25-30 Minutes What is Medical Necessity
30-40 Minutes Use of Standardized Assessments, Evaluations
40-45 Minutes Goal Writing
45-55 Minutes Progess Notes/HH Visit Notes
55-60 Minutes Recertifications
60-65 Minutes Daily Notes and Discharge Summaries
65-70 Minutes Skilled Language
70-75 Minutes Overview of CPT Codes
75-85 Minutes Billing Considerations
85-90 Minutes Summary, Q&A

Reviews

492 Reviews

Presented By

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Presenter Disclosure: Financial: Melissa Collier received an honorarium for this presentation. She is Vice President of Clinical Quality and Compliance for Continuum Rehab Group. Nonfinancial: No relevant relationships to disclose.

Sponsor Disclosure: This Course is presented by SpeechPathology.com, a Continued site.

Content Disclosure: This learning event does not focus exclusively on any specific product or service.

Course participation information

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Passing an online exam and completing a course evaluation will be required to earn continuing education credit.

Live Webinars allow presenter and participant interaction. The exam and course evaluation for these courses must be completed within 7 days of the event.

On-demand courses include texts, video and audio recordings of live webinars, and multimedia formats. The exam and course evaluation for on-demand courses must be completed within 30 days of course registration.

To participate in the course, complete the exam and course evaluation, and earn continuing education credit, you must be a SpeechPathology.com member. Participants must complete the entire course; partial credit is not allowed.

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American Speech-Language-Hearing Assn.

American Speech-Language-Hearing Assn.

Introductory Level
0.15 ASHA CEUs

International Association for Continuing Education and Training

International Association for Continuing Education and Training

Continued, LLC, DBA SpeechPathology.com, is accredited by the International Association for Continuing Education and Training (IACET). Continued complies with the ANSI/IACET Standard, which is recognized internationally as a standard of excellence in instructional practices. As a result of this accreditation, Continued is authorized to issue the IACET CEU. continued, LLC, is authorized by IACET to offer 0.2 CEUs for this program.

Kansas Dept for Aging and Disability Services

Approved for 1.5 continuing education clock hour(s) for Kansas licensed Speech Pathologists by the Kansas Department for Aging and Disability Services. Long-Term Sponsorship number: LTS-S1370.

California Speech-Language Pathology and Audiology Board: SpeechPathology.com is approved by the California Speech-Language Pathology and Audiology Board as a Continuing Professional Development Provider, approval number PDP 268. This course may meet the requirements for 1.5 hours of continuing education credit for SLPs as required by the California Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board. The responsibility for determining whether or not this specific course counts toward an individual's requirements for license renewal is up to the individual. Please refer to the CA state board rules regarding allowable topics and self-study limits: http://www.speechandhearing.ca.gov/licensees/ce_req.shtml. Live webinars on SpeechPathology.com do not count as self-study courses toward California professional development requirements.

Speech-Language and Audiology Canada

Speech-Language and Audiology Canada

Clinically certified members of Speech-Language and Audiology Canada (SAC) can accumulate continuing education equivalents (CEEs) for their participation with SpeechPathology.com. One hour of coursework equals 1 CEE. All SAC members are encouraged to participate in on-going education.

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