Since the release of the revised Medicare manual provisions as a result of the Jimmo v Sebelius final settlement, there has been a healthy debate in the physical therapy community regarding when skilled maintenance therapy is appropriate and what the parameters should be regarding amount, duration, and frequency. In this webinar, Anita Bemis-Dougherty and Roshunda Drummond-Dye will discuss the Medicare manual provisions as well as provide clinical and regulatory insight on how to properly treat patients under the Medicare skilled maintenance benefit, while minimizing risk of denials from Medicare administrative contractors (MACs).

Course Code:

LMS-589

APTACategory

Category1

cert_CA approval

CPTA2018-19

cert_Insert Up To

No

cert_No IACET

No

cert_NV credit value

0.2

cert_NY approval

Yes

cert_OH hours

0

cert_OK category

0

cert_OK hours

0

cert_PA DA hours

0

cert_PA Ethics hours

0

cert_PA Gen hours

0

cert_Transcript stmt

No

cert_TX approval

1909019TX

Completion Instructions

To successfully complete this course, you must open and review all lessons and resources in the course. Once you have progressed through the course lessons and resources, you must take an assessment of learning. You are required to complete the assessment with at least 70% accuracy in order to claim CEU credit. You may retake the assessment as many times as you like.

Course level

Intermediate

Date published

05/01/2014

Date recorded

04/24/2014

Delivery method

Online

Instructor(s)

Anita Bemis-Dougherty, PT, DPT, MAS; Roshunda Drummond-Dye, JD

Learning objectives

Upon completion of this webinar, you will be able to: 1. Identify Medicare's "reasonable and necessary" criteria regarding the need for skilled therapy services. 2. Discuss current maintenance therapy coverage requirements for therapy under Medicare Parts A and B. 3. Apply clinical reasoning and documentation to support medical necessity of patient care. 4. Implement documentation tips important to illustrate the need for skilled maintenance therapy. 5. Distinguish between Medicare policies for restorative and maintenance therapy.

Brought to you by

APTA

#Lessons:
1Web14_Apr24_DefiningSkilled.mp4
2Assessment_Defining_Skilled
Overview
Type:E-Learning Course
Credits:0.2
Credit Categories
Domains:Professional Excellence, Bemis-Dougherty, Drummond-Dye, webinar
Enrollment