Medicare 101 for Home Care Professionals
DescriptionThis is a self-paced course with optional knowledge check quizzes after each lesson. These non-graded quizzes allow you to check your understanding of the lesson objectives before proceeding to the next lesson. After the final lesson you will be required to take the final exam. You must score 80% or higher to pass the course and obtain a certificate of completion.
- Outline the basic history of Medicare.
- Understand basic Medicare coverage.
- Identify Medicare's expectations of home health providers and clinicians for reimbursement and compliance.
- State the provider's responsibility with home care services.
- Recognize the physician's responsibility related to home care services.
- Define part-time/intermittent services.
- Record requirements for daily skilled nursing visits.
- List key components to document medically reasonable and necessary services.
- Recognize the importance of documentation to support homebound status.
- Identify when to decrease or increase visit frequency under Medicare.
- Appropriately document the provision of skilled nursing services according to Medicare requirements.
- Recognize the requirements for "homebound".
- Learn to document a clear picture of the homebound status of Medicare clients.
- Document appropriately to demonstrate that skilled services are reasonable and necessary.
- Explain the criteria needed to meet Medicare's definition of reasonable and necessary home health aide services.
- List the home health aide's responsibility in home care.
- Describe Medicare's expectations regarding supervision for the home health aide (HHA).
- Recognize basic legal requirements of home care documentation.
- Identify basic requirements for Medicare coverage.
- Recognize the requirements for "homebound".
- Learn to document a clear picture of the homebound status of Medicare clients.
- Identify Face-to-Face Requirements.
- Identify Therapy Assessment Time Points.
2 Contact Hour: based on 60 minute contact hour
The estimated time for completion for this activity is 2 hour(s).
This continuing education course is of interest for all healthcare professionals that communicate with patients and peers, such as: licensed practical nurses, registered nurse, physical therapists, dietitians, and social workers.
Kathy Richie, BSN, RN, Patricia Jump, RN, PHN, MA, Peggy Harris, BS, MS
As required by ANCC, this continuing nursing education activity must carry an expiration date. You must complete the content, Final Quiz and Course Survey on or before that day. The last day to successfully complete this course and receive a Certificate of Completion will be December 31, 2020.
Provider Approval Number: WICEAP-0149-007
Commercial Support: This course was developed in accordance with ANCC Commercial Support Guidelines. No commercial support was accepted for the development of this course.
Non-endorsement of Products and Off Label Use: This course provides a balanced view of therapeutic options. Use of generic names is always considered before using trade names. Consequently, if trade names are necessary, when available, we will use trade names from several companies. RCTC and the course planning team do not endorsed any products or drugs that may be mentioned in this course.
Materials used in connection with this course may be subject to copyright protection. Retention of the materials for longer than the class term, unauthorized further dissemination of the materials, or use of copyrighted materials in any way other than intended for this class is prohibited by Copyright and Teach Act laws.
This course was developed with Rochester Community and Technical College's Continuing Education and Workforce Development Division located in Rochester Minnesota. Development was funded from the Minnesota State Colleges and Universities System.