Now that the focus on therapy volume has gone away with the new PDPM (patient-driven payment model), will your daily skilled nurse notes support the skilled service provided? Per CMS, PDPM does not change skilled care requirements, however, we [CMS] expect provider risk will be more easily mitigated to the extent that reviews focus on more clearly defined aspects of payment such as documentation support for pt dx and assessment coding.

Per the RAI; documentation must substantiate the residents need for Part A services. The RAI also states; completion of the RAI / MDS does NOT remove the NH responsibility to document a more detailed assessment of issues relevant to the resident.

Will your daily nurse documentation support the SKILLED services provided and hold up in a Medicare review? Will your current nurse’s notes for skilled care identify and support the complexity of skilled nursing care provided? In the past, therapy notes have been under a great deal of pressure to support the skilled services provided. With PDPM the focus includes Skilled Nursing. Will your nurse’s notes support the residents need for “daily” nursing services?

In this class, Colleen will guide you through the Medicare skilled care criteria and expectation of supportive documentation. Current nursing documentation examples will be reviewed.

Click here to Register

More Information

AM Class: 9am – Noon (PST)

PM Class: 1pm – 4pm (PST)

Questions?

Pat Sylvia

(253) 964-8870