Explore the four components of homebound status and discover how to determine whether or not a patient meets Medicare’s homebound criteria. Learn to identify the requirements your patients must meet to satisfy Medicare’s homebound criteria. Explore the issue of patients’ absences from home and identify key circumstances that may jeopardize your patients; homebound status

Learn to document the patient’s homebound determination and prevent claim denials.  Gain a clear understanding of how the four components of homebound status relate to comprehensive assessment.  You will feel more confident as you learn to clearly communicate a strong rationale for your patients’ homebound status using the clinical record.

Explore Medicare qualifying criteria in this introduction to the six Medicare-covered services. Gain an in-depth understanding of how a patient qualifies for Medicare coverage through a need for therapy or intermittent skilled nursing.

Examine the framework of covered services under the Medicare homecare benefit. Take a closer look at some of the unique considerations for select covered services, including daily skilled nursing, home health aide, therapy assistant, and other services. Prevent denials for part-time or intermittent services (28/35 rule).

Learn the definition and implications of the skilled, and reasonable and necessary criteria. Examine how these criteria apply to skilled procedures. Both new and experienced staff can benefit from a better understanding of how to apply CMS rules to determine whether a skilled procedure meets Medicare criteria for coverage. Plus learn how to communicate a cohesive rationale for Medicare coverage of a skilled procedure in your documentation.

Explore the regulatory requirements for Medicare coverage surrounding observation and assessment services. In a two-step process, you will uncover Medicare coverage criteria for observation and assessment and then you will be able to apply this knowledge to documentation to support the patient’s plan.

Determine how the skilled, and reasonable and necessary criteria apply to patient teaching and training activities by homecare clinicians. Identify if a patient’s educational needs meets Medicare criteria. Learn documentation strategies to build a supportive clinical record.

Gain a better understanding of the regulatory requirements surrounding management and evaluation services. Explore how this knowledge can help you and learn to build documentation that supports your rationale for Medicare coverage.

This orientation will explain the process of completing the CMS-485, Home Health Certification and Plan of Care. In this course, you will learn about the purpose of the plan of care. You will also be able to identify the data needed to complete each locator accurately. This invaluable orientation will assist you in creating cohesive documentation and survey citations.

In this advanced course, you will explore the concepts and principles behind a powerful plan of care that meet regulatory requirements. You will apply this knowledge to create a powerful plan of care that ensure Medicare coverage for patients, and prevent payment delays, denials, and survey citations.