Audit-proof ADLs in the HMO Era -
Rehabilitation / Nursing Home Training Seminar
Medically-Necessary Treatment, Justified.
Due to recent changes in health care coverage, the standards for Activities of
Daily Living (ADLs) are being put to the test. Therapists face increasing audits
and denials of payment for coverage of basic skill acquisition. Complicating
matters, HMO standards vary widely, depending on the state and fiduciary
managing local health care systems. It is imperative that rehab personnel and
health care administrators understand what is needed for assessment, treatment,
and documentation in order to maximize functional gains and financial
Explore innovative, evidence-based medical techniques that will immediately
accelerate your patients' progress and replace the traditional task-repetitive
treatments that will most likely be denied reimbursement. Combining standard
assessments, effective therapeutic protocols, and solid clinical judgment, this
course provides the tools you need to address the underlying causes of ADL
deficits and confidently justify medical necessity to third-party payers.
Presenter Charlene Young understands both sides of the billing equation,
bringing to bear over 20 years of experience treating pediatric disorders,
managing rehab facilities, and negotiating contracts with third-party payers.
Her presentations for Cross Country Education have earned acclaim for delivering
highly effective solutions with a blend of theory, practice, and humor.
WHAT YOU WILL LEARN
• Analyze the neurological and biological
deficits behind ADL dysfunction
• Distinguish ADL norms and disability predictors within culturally diverse
• Evaluate applications of evidence-based ADL assessment tools and independently
review examples of assessment in lab and case studies
• Evaluate applications of evidence-based therapeutic approaches to a range of
ADL disabilities and independently review examples of treatment in lab and case
• Revise practice standards for evaluation, intervention, plan of care, daily
notes, and billing documentation in order to justify medical necessity and
ABOUT THE PRESENTER
CHARLENE YOUNG, OTR/L, CEAS, has
specialized in pediatric disorders, program development, and rehabilitation
management for more than 20 years. An active leader in the occupational therapy
profession, she has served as President and Eastern Kentucky Director of the
Kentucky Occupational Therapy Association (KOTA), where she provided legislative
advocacy at the state and national level in efforts to increase support for
developmental medicine. Currently, she is the CEO of a non-profit foundation
that works to decrease developmental delays by improving educational materials.
In addition, she owns Functional Abilities, LLC, which provides consultations
worldwide, educational publications, and both private and public instructional
She is well recognized in the United States for her expertise in child
development, sensory processing disorder, autism, ADHD, bipolar, and dementia.
Her extensive list of honors includes being selected as the recipient of the
"Best Practice" status for school-based therapy by Advance Magazine.
Financial - Receives a speaking honorarium from Cross Country Education
Nonfinancial - No relevant nonfinancial relationship exists
One of the best seminars I've been to in my 20
years as an OT. Speaker very knowledgeable, personable, and gave so many
takeaway functional ideas!
Pam Cole, OT Laguna Hills, CA
Excellent presentation: practical, realistic, well-founded in research and in
clinical experience. Speaker is a treasure—a wealth of info, experience,
passion, and common sense.
Donna Dagenais, SLP Palo Alto, CA
WHO SHOULD ATTEND
• Occupational Therapists
• Occupational Therapy Assistants
• Nursing Home Administrators
• Rehabilitation Managers
• Social Workers
• Case Managers
• Guidance Counselors
This educational offering qualifies for 6 continuing
education hours as required by many national, state and local licensing boards
and professional organizations. Save your course outline and certificate of
completion, and contact your own board or organization for specific filing
This educational offering may qualify toward your professional development
requirement. The educational offering consists of 6 clock hours. Use this
information and your board rules and regulations to calculate professional
development/continuing education credit.
This program has been submitted to the Commission for Case Manager Certification
for 6 clock hours of continuing education.
Cross Country Education provider #1005, is approved as a provider for social
work continuing education by the Association of Social Work Licensure Boards (ASWB),
through the Approved Continuing Education (ACE) program (an approved provider
since 1999, approved through 1-27-15). Cross Country Education maintains
responsibility for the program. Social workers will receive 6 continuing
education clock hours for participating in this course. Licensed social workers
should contact their individual state jurisdiction to review the current
continuing education requirements for licensure renewal. Visit ASWB's website at
www.aswb.org for more information.
Cross Country Education is an AOTA Approved Provider of continuing education.
This course is offered for .6 AOTA CEUs. The assignment of AOTA CEUs does not
imply endorsement of specific course content, products, or clinical procedures
by AOTA. AOTA Educational level Introductory, Category 2: Occupational Therapy
Cross Country Education is a Certified Sponsor of professional continuing
education with the National Association of Long Term Care Administrator Boards
(NAB) and has submitted this program for the number of clock hours listed under
their sponsor agreement with NAB/NCERS. State licensure boards, however, have
final authority on the acceptance of individual courses.
SEMINAR CLASS TIME:
Seminar Check-in: 7:30 AM Seminar Class 8:00 AM - 3:30 PM