- Basic: $198
- Facility: Use Facility Member Course Purchase Form
- Contact Hours: 4.0 – Contact Hours / .4 CEU’s
- Recent headlines read, “Government sues SNF for allegedly providing medically unnecessary therapy services.” SNF’s pay back millions of dollars to Medicare in multiple recent Settlement Agreements. Therapists nationwide wonder how this is possible. This course will discuss the therapy “practice patterns” in LTC that Medicare and CMS identified in multiple recent lawsuits that contributed to the allegations of fraud for Medicare Part A PPS residents. Some of the practice patterns identified are commonly used in SNF therapy departments today. Ensure that the clinical services you provide are supported by documentation and meet the “reasonable and necessary” regulations for the SNF setting. This course will describe what is reasonable and necessary according to Medicare guidelines for therapy practice in the LTC setting, identify therapy practice models at risk for being deemed “unreasonable and unnecessary” in the short term rehab and LTC setting for Part A therapy and teach how implementing documentation standards and practice models to support “reasonable and necessary” therapy services can avoid problems with false claims down the road. This presentation is ideal for the beginner or intermediate clinician who has some experience working in the long term care setting and familiarity with Medicare PPS. This course is appropriate for therapists, therapist assistants, MDS Nurses and administrators who want to gain a working knowledge of therapy practice patterns that may create false claims and place a facility at risk for a whistle blower lawsuit and/or accusation of false claim submissions.
- Level: ( x ) Entry Level (x) Intermediate ( )Advanced
- Type: Download / Self Study
- Author: Dolores Montero, PT, DPT, GCS, RAC-CT.
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