RAI 3.0 USA Courseware

The RAI courseware is focused on the RAI methodologies, including MDS 3.0, RUG IV, QM, Respiratory Therapy and Documenting ADLs learning topics. The program provides clear learning objectives, comprehensive online instruction and competency evaluations that allow learners and educators to evaluate learning progress. The RAI courseware has been designed for use by a continuum of learners ranging from those who have never been exposed to the RAI to those that are very familiar with the RAI methodology.

Three case studies have been developed by industry experts that allow learners to follow a simulated patient case and apply their RAI knowledge based on a real world situation. Immediate feedback is provided allowing both learners and educators to evaluate the learning progress.

Within the RAI 3.0 courseware, discipline specific curriculums have been developed for key members of your interdisciplinary team ensuring that instruction is targeted to each learner within your organization.

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The RAI courseware can be configured to reach the many different needs of your interdisciplinary team. The Learning modules in the RAI courseware are:

Medicare Basic series

The AIS Medicare Basics series is delivered in 4 parts:

  • Part 1 – Introduction to the Medicare Program (approx… 45 minutes)
  • Part 2 – SNF Medicare Eligibility (approx… 1 hour)
  • Part 3 – Skilled Nursing and Skilled Therapy Services… (approx… 1 hour)
  • Part 4 – Documentation to Support Skilled Services (approx… 1 hour – to be released in Fall 2015)

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ICD-10-CM for LTC overview

Provides thorough coverage of the many facets of the ICD-10-CM Comprehensive process. The numerous Learning Activities include:

  • ICD-10-CM Regulatory Requirements
  • Comparing ICD-9-CM and ICD-CM codes
  • Implementation strategies for SNF/LTC
  • Introduction to the ICD-10-CM Manual
  • Review of Official Coding Guidelines, Conventions and Chapter Specific Guidelines
  • ICD-10-CM coding for LTC/SNFs
  • 10 Coding Scenarios

 
 

MDS 3.0

Provides thorough coverage of the many facets of the RAI process. The numerous Learning Activities include:

RUG IV

Provides a clear learning path to help your organization understand the impacts of the RUG IV. The Learning activities include:

QMs and the MDS 3.0

Covers the topic of Quality Measures. Some of the Learning Activities include:

  • Introduction to the QMs
  • QM technical specifications
  • QM Reports
  • The Survey Process

PUSH

Provides education on the PUSH tool used to assess and track Pressure Ulcers. The Learning Activities include:

  • An Intro to the PUSH
  • Skin Basics
  • The PUSH Tool

Respiratory Therapy

Target learners are nursing staff who provide respiratory therapy to residents. Learning focused on:

  • Introduction to Respiratory System Anatomy & common respiratory illnesses
  • Conducting a Respiratory assessment and recognizing lung sounds
  • Respiratory treatments, administering treatments and treatment side effects
  • Respiratory therapy, respiratory diagnosis, documentation and RUG IV

Documenting ADLs

Target learners are personal support works / CNAs who provide and document ADL support. Special attention is given to accurate documentation of ADLs, especially late-loss ADLs:

  • Defining ADLs and late-loss ADLs
  • Identifying and documenting ADL Self-Performance and Support Provided
  • Real-world ADL practice scenarios

Beneficiary Notices

The target learner for this course is Registered Nurses, MDS coordinators, DON’s, Social Services, Therapy staff and business office staff working in Skilled Nursing Facilities. This course focuses on the core competencies required to become proficient in the administration of Beneficiary Notices. The subject matter expert for this course is Ronald Orth RN, NHA, CPC, RAC-CT. Some of the learning activities included in this module:

Introduction to Beneficiary Notices

  • Terminology
  • Regulatory overview related to Beneficiary Notices
  • Purpose of Beneficiary Notices

Providing Beneficiary Notices

  • Medicare Part A SNF Residents
  • Medicare Part B SNF Residents
  • Delivery of Beneficiary Notices

Expedited Determination Process (EDP)

  • Purpose of EDP
  • Generic and detailed notices
  • Expedited Review process step-by-step
  • Providing both Denial Letter/SNF ABN and Generic notice

Case Examples

  • 12 practice scenarios