Medicare: Skilled Documentation

Course Code: REL-PAC-0-MEDSD

Hours: 1

Type: Online Course

Content Expiration Date: 12/31/2025

Learning Objectives:
Identify at least two general documentation guidelines.
Discuss nursing documentation concepts to support skilled nursing services.
Explain documentation considerations to support the coding of the MDS 3.0.

Outline:
Section 1: Introduction

About This Course

Learning Objectives

Section 2: Documentation Guidelines

Why Document?

Back to the Basics

What Should be Documented?

Supporting Medicare Part A Skilled Coverage

Medicare Documentation Sources

Review

Summary

Section 3: Skilled Nursing Documentation

General Considerations

What is Critical Thinking?

Direct Skilled Services

Indirect Skilled Services

Documentation to Support Therapy Services

Review

Summary

Section 4: Documentation and the MDS

MDS 3.0

Sections of the MDS that Affect Nursing

Review

Summary

Section 5: Conclusion

Course Summary

Course Contributors

References

Subject Matter Expert: Bobbi Whittington, BSN, RN

Bobbi is currently an SME writer for Post-Acute Care at Relias. She began her nursing career as a Certified Nursing Assistant (CNA) in long-term care, where she discovered her passion for working with older adults in post-acute settings. In 1997, she earned her Licensed Practical Nurse (LPN) certification from South Central Area Vocational Technical School in Missouri. Demonstrating a commitment to advancing her education, she obtained an Associate Degree in Nursing from Texas County Technical Institute in 2007, followed by a Bachelor of Science in Nursing from Chamberlain College of Nursing in 2013. With more than 24 years of clinical and managerial experience in the skilled nursing industry, Bobbi has dedicated her career to enhancing the quality of care for older adults.

Target Audience:
The target audience for this course is: Administrators; Nurses; in the following settings: Post-Acute Care.

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All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.

To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.

Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.