Skilled Nursing Facility (SNF) Reimbursement Systems and Documentation Requirements
Course: #11397Level: Introductory 1.5 Hours 293 ReviewsThis course familiarizes practitioners in the Skilled Nursing sector with various reimbursement systems for both skilled and long-term patients. The course discussion guides for creating reimbursement-compliant documentation for speech-language pathologists.
On Demand
Course Type: Video, Audio
CEUs/Hours Offered: ASHA/0.15 Introductory, Related; Calif SLPAB/1.5; IACET/0.2; Kansas LTS-S1370/1.5; SAC/1.5
Course Preview
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Learning Outcomes
- After this course, participants will be able to describe the principal reimbursement systems for both skilled and long-term residents of skilled nursing facilities.
- After this course, participants will be able to list the three essential requirements of compliant speech therapy services for reimbursement in Medicare and Medicare-related systems.
- After this course, participants will be able to describe key elements of documentation that satisfies Medicare reimbursement standards.
Course created on March 26, 2026
Agenda
| 0-5 Minutes | Introduction and agenda |
| 5-35 Minutes | Reimbursement models and methodologies for residents of skilled nursing facilities. |
| 35-55 Minutes | CMS Regulations for reimbursable therapy services. |
| 55-85 Minutes | Treatment plan development and documentation strategies for reimbursable therapy services. |
| 85-90 Minutes | Summary, Q&A |
Reviews
293 ReviewsPresented By

Lorelei O'Hara
MA CCC-SLP
Lori OʼHara serves as the Director of Skilled Reimbursement for Ensign Services, Inc., where she is a leading Medicare regulatory resource for Ensign-affiliated facilities nationwide. She oversees documentation monitoring systems and responses to ADRs and appeals, ensuring compliance and optimizing reimbursement strategies. A key architect of Ensignʼs transition to the Patient Driven Payment Model (PDPM) in 2019, Lori continues to guide the organization as its senior expert on PDPM operationalization. Her insights are grounded in over 30 years of clinical and operational experience, including a two-year tenure as a speech-language therapist with the National Health Service in southern England.
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Financial: Lorelei O'Hara was paid an honorarium for this presentation. Non-financial: No non-financial 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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NOTE: Full attendance for all courses is mandatory. For self-study courses, this includes reading the full text, listening to the full audio recording, or watching the complete video, as appropriate for the format of the course.
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.
Introductory Level
0.15 ASHA CEUs
California Speech-Language Pathology & 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 1.50 hours of continuing education credit for speech-language pathologists as required by the California Speech-Language Pathology & Audiology 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: https://www.speechandhearing.ca.gov/licensees/slp-au_cpd_req.shtml Live webinars on SpeechPathology.com are not included in the self-study limit under California professional development guidelines.
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 0.20 CEUs for this program.
Kansas Dept for Aging and Disability Services
Approved for 1.50 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.
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.