Medical directors and nursing home clinicians are increasingly being required to admit and manage post-acute patients under the Medicare Skilled Nursing Facility (SNF) benefit. According to the Centers for Medicare & Medicaid Services (CMS) regulations, it is the responsibility of the attending physician to provide orders consistent with the medical necessity to provide daily skilled nursing or daily skilled rehabilitation services. Unlike long-term care services, the goal of the SNF level of care is usually to complete the medical care initiated in the acute care setting and facilitate a safe discharge home.
This live activity will review the regulatory requirements for the skilled nursing facility level of care and the role of the medical director and attending physician in documenting, ordering, and certifying these services, and working with the interdisciplinary team to succeed in achieving the patient's desired outcomes. The presenter will review the regulatory requirements for the SNF level of care, demonstrating how to determine medical necessity for daily skilled rehabilitation or nursing services and how to properly order and document these services to ensure appropriate compliance.
The overall goal of this live activity is to enhance participants’ knowledge and ultimately improve competency by providing the most recent developments and updates available on the requirements for Skilled Nursing Facility (SNF) level of care.
Upon completion of this activity, participants should be able to -
Recognize the regulations governing the SNF level of care vs. custodial care.
Describe the role of the attending physician and medical director in certifying the SNF level of care.
Discuss the role of the medical director and clinician in documentation and orders regarding SNF level of care.
Identify the role of the medical director and clinician in the termination of SNF services and appeals.
Target Audience: Medical directors, attending physicians, nurse practitioners, nurses, and advanced practitioners should participate in this webinar.
Accreditation and Credit Information: AMDA - The Society for Post-Acute and Long-Term Care Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
AMDA - The Society for Post-Acute and Long-Term Care Medicine designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
CMD Credit This live activity has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for a total of 1.5 management hours toward certification as a Certified Medical Director in Long-Term Care (CMD). The CMD program is administered by the ABPLM. Each physician should claim only those hours of credit actually spent on the activity.
AMDA POLICY ON DISCLOSURE AND RESOLUTION OF CONFLICT OF INTEREST POLICY It is AMDA’s policy that all those in a position to directly control CME content, such as: staff, planning committees, faculty and authors, disclose any relationships with commercial entities upon nomination or invitation for participation. Disclosure documents are reviewed in advance for potential conflicts of interest. If conflicts are identified, they are resolved prior to program planning and/or confirmation of participation to ensure participation and/or presentation is non-biased/promotional, evidence-based, and scientifically sound. Only those participants who had no conflict of interest or who agreed to an identified resolution process prior to their participation are involved in this CME activity.