Purpose of RAC and documentation review
- Why reviews happen
- Who reviews
Identify red flags
- Billing
- Trends (OP-Medicare B, In-patient –Medicare A, HH)
- Qualified clinician
- Skilled level of care
- Medical Necessity
- Actual Good/Bad Examples
Requirements of a “maintenance program”
5 platforms of successful documentation
Underutilized terminology
- Avoiding “trap phrases”
- Joint mob
- Gait ther-ex
- Transfer training
- Spontaneous class example

