Use of the electronic medical record (EMR) for therapy documentation and the documentation review process conducted by payers are discussed in this course. Methods for effectively demonstrating skilled services and medical necessity and tips for avoiding pitfalls that can result in reviews or reimbursement denials are described. Actual before and after documentation samples are presented.
Course created on August 29, 2023
- After this course, participants will be able to describe the process payers use to review documentation.
- After this course, participants will be able to identify the difference between what is considered “skilled” and “unskilled” per current Medicare regulations.
- After this course, participants will be able to describe the EMR components that can lead to possible reviews and/or denials, and that aid in the justification of medically necessary and skilled services.
|10-50 Minutes||“Skilled” documentation regulatory review|
|50-90 Minutes||Actual documentation samples|
|90-115 Minutes||Avoiding denials and justifying medically necessary services using EMR|
|115-120 Minutes||Summary; Q & A|
John M. Delossantos
OTR/L, MBA, RAC-CT, CFPS, R-RAM
Mr. John M. Delossantos has over 25 years of experience in the Skilled Nursing Facility Industry. He held the position of Regional Vice President for more than 15 yrs. with the largest privately held contract therapy company in the United States. John is a Registered Occupational Therapist with an MBA in Healthcare Management. He also is a Certified Resident Assessment Coordinator (RAC-CT). In recent years, John and his company (JMD Healthcare Solutions LLC) have been part of an Independent Review Organization (IRO) appointed by the U.S. Office of Inspector General (OIG) to validate both therapy and MDS SNF claims. He also sits on the advisory board for two colleges in Indiana, where he lives with his wife and 2 children.
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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American Speech-Language-Hearing Assn.
0.2 ASHA CEUs
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 2 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 2 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
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.