CEUFAST COURSE

Advanced Financial Concepts in Healthcare: Medicare and Medicaid

Contact Hour(s): 2 Contact hoursAuthor:Shelly McDonald, DNP, MSN, RN, PHNCThis peer-reviewed course is applicable for the following professions:Advanced Practice Registered Nurse (APRN), Certified Nurse Midwife, Certified Nurse Practitio...

Course Summary

Contact Hour(s): 

2 Contact hours

Author:

Shelly McDonald, DNP, MSN, RN, PHNC

This peer-reviewed course is applicable for the following professions:

Advanced Practice Registered Nurse (APRN), Certified Nurse Midwife, Certified Nurse Practitioner, Certified Registered Nurse Practitioner, Clinical Nurse Specialist (CNS), Licensed Practical Nurse (LPN), Licensed Vocational Nurses (LVN), Midwife (MW), Nursing Student, Occupational Therapist (OT), Occupational Therapist Assistant (OTA), Physical Therapist (PT), Physical Therapist Assistant (PTA), Registered Nurse (RN), Respiratory Therapist (RT)

Accreditations:

The American Nurses Credentialing Center (ANCC), The American Occupational Therapy Association (AOTA) 

State Approvals:

Alabama, Provider #ABNP1485; California BRN Provider #CEP # 13509; Florida Physical Therapy Association Approval: CE 25-1264989, CE26-1264989; Kentucky Board of Nursing Provider #7-0085; Florida Board of Nursing Provider 50-353; Kentucky Board of Licensure for Occupational Therapy; Nevada Board of Physical Therapy; New York State Education Department’s State Board for Physical Therapy  

Course Description:

This course discusses the basics of Medicare and Medicaid, how reimbursements work, what organizations are impacted by reimbursements, how they are reviewed for quality measures, and how to reduce hospital readmissions to cut costs.

Outcomes:

≥ 92% of participants will know what Medicare and Medicaid cover and how reimbursements work, including how healthcare organizations are paid. 

Objectives:

After completing this continuing education course, the participant will be able to:

  1. Outline the fundamental components of Medicare and Medicaid.
  2. Identify the most common diagnostic profiles, payment models, settings, and components that differentiate Medicare Part A from Part B.
  3. Document examples of acute, post-acute, rehabilitation hospital, outpatient, ambulatory, assisted living, and skilled nursing payment models and diagnostic profiles.
  4. Summarize how each interdisciplinary team member can contribute to reducing repeated hospital admission rates.
  5. Explain how various medical or allied health professionals can contribute to reducing repeated hospital admission rates across the continuum of care.

Disclosures:

CEUFast Inc. and the course planning team for this educational activity do not have any relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.