1. education

 Check the Workshop You Will Attend:
REGISTER BY MAIL
A Hands-On Workshop for Physical, Occupational, and Speech Therapists
 Jacksonville, FL - February 12, 2015
 West Palm Beach, FL - February 27, 2015
 Altamonte Springs, FL - February 13, 2015  Fort Lauderdale, FL - February 28, 2015
 Palm Harbor, FL - February 14, 2015
 Coral Gables, FL - March 01, 2015
DOCUMENTATION BOOTCAMP
Receipts Sent Via Email - Please Print Clearly!
ATTENTION: Copy as needed for each attendee or print
additional forms at www.summit-education.com
Pricing*
EMAIL OR PHONE # REQUIRED!
Name*____________________________________________________
EARLY
$199 | Single Person
$189 | 2-4 People
$169 | 5+ People
Email*___________________________________________________________
Profession/Job Title* ______________________________________________
Organization_____________________________________________________
REGULAR
$219 | Single Person
$209 | 2-4 People
$189 | 5+ People
*Early registration must be received 14 days prior to workshop.
GROUPS: Registrations and payment must be received together
via fax or mail. You may also register online if payment is with a
single credit card.
Billing Address*___________________________________________________
Address2 _______________________________________________________
City*_____________________________State*_______ Zip*_______________
Summit Professional Education
PO Box 908
Franklin, TN 37065
EMAIL OR PHONE # REQUIRED!
Phone*_____________________________________Ext._________________
(MM)
(YY)
(YRS)
CE Renewal Date _________
/ _________
License Cycle Length ____________
Documentation
Bootcamp for
Skilled Therapy
Services
Easy Registration!
All prices are per person
1. Online: www.summit-education.com
2. Phone: (800) 433-9570
3. Fax: (615) 376-8233
4. Mail: Summit Professional Education
PO Box 908 | Franklin, TN 37065
PRSRT STD
U.S. POSTAGE
PAID
NASHVILLE, TN
PERMIT NO. 508
Payment Required For Registration
Check, credit card or PO# MUST accompany registration form.
PRIORITY CODE:
Price ____________ X Quantity ___________ = Total __________________
Supporting Denial-Proof Medicare Documentation
 Check enclosed, payable to Summit Professional Education
 PO#: __________________ (PO FORM required for registration)
 VISA
 MC
 Amex
For more than 23 years John Adamson, PT, M.Div., has worked in physical therapy in a variety of settings. A highly
credentialed documentation auditor and recognized as a Master Clinician, Mr. Adamson is involved in ongoing chart
audits for state and federal compliance, as well as for reimbursement.
 Discover
Cardholder’s Name: ______________________________________________
Card #:__________________________________________________________
Exp. Date: _______________________ 3 Digit CSC/CVC: _________________
GDOCJA.0215.1
PLEASE RETURN ENTIRE PANEL
Benefits to Attending
Workshop Dates
•Effective documentation practice for Part A and B Medicare Services
A Hands-On Workshop for Physical, Occupational, and Speech Therapists
Documentation
Bootcamp for
Skilled Therapy
Services
Supporting Denial-Proof Medicare Documentation
Workshop Dates
Jacksonville, FL
February 12, 2015
Altamonte Springs, FL
February 13, 2015
Palm Harbor, FL
February 14, 2015
West Palm Beach, FL
February 27, 2015
Fort Lauderdale, FL
February 28, 2015
Coral Gables, FL
March 01, 2015
For more than 23 years John Adamson, PT, M.Div., has worked in physical therapy in
a variety of settings. A highly credentialed documentation auditor and recognized as a
Master Clinician, Mr. Adamson is involved in ongoing chart audits for state and federal
compliance, as well as reimbursement.
Benefits to Attending
• Effective documentation practice for Part A
and B Medicare Services
• Practical assessment and re-assessment
strategies for functional deficits,
underlying conditions and co-morbidities
• Write a proper analysis and skilled services
program
• Appropriate assessment tools for
functional limitation reporting
• Documentation case studies to help you
justify reasonable and necessary skilled services
• Key steps to denial-proof documentation
REGISTER
www.summit-education.com or call 800-433-9570
SPEECH-LANGUAGE
•Practical assessment and re-assessment strategies for functional
deficits, underlying conditions and co-morbidities
Jacksonville, FL
February 12, 2015
Altamonte Springs, FL
•Write a proper analysis and skilled services program
February 13, 2015
•Appropriate assessment tools for functional limitation
reporting
Palm Harbor, FL
•Documentation case studies to help you justify reasonable and
necessary skilled services
•Key steps to denial-proof documentation
West Palm Beach, FL
February 27, 2015
Fort Lauderdale, FL
Who Should Attend
February 28, 2015
•PTs/PTAs
•Skilled Nursing Professionals
•OTs/OTAs
•Nursing Home Administrators
•SLPs/SLPAs
•Directors of Nursing
•Nursing Rehab Directors
•MDS Coordinators
REGISTER
www.summit-education.com or call 800-433-9570
SPEECH-LANGUAGE
February 14, 2015
Coral Gables, FL
March 01, 2015
Documentation Bootcamp
for Skilled Therapy Services
Workshop Outline
I.
Scope of Practice: Identifying Functional and Underlying
Impairments
»» PT
»» OT
»» SLP
II.
Justifying Medical Necessity of Skilled Services
»» Incorporation of medical and treatment diagnosis
»» Utilizing measurable data from the MDS
»» Painting a “bleak picture”- medical necessity statement
Supporting Denial-Proof Medicare Documentation
Dates & Locations
Jacksonville, FL
February 12, 2015
Hilton Garden Inn Airport
13503 Ranch Rd
Jacksonville, FL 32218
(904) 421-2700
Altamonte Springs, FL
February 13, 2015
Hilton Altamonte Springs
350 Northlake Blvd
Altamonte Springs, FL 32701
(407) 830-1985
Palm Harbor, FL
February 14, 2015
Doubletree Tampa Airport
4500 West Cypress St
Tampa, FL 33607
(813) 879-4800
West Palm Beach, FL
February 27, 2015
Embassy Suites Airport
1601 Belvedere Rd
West Palm Beach, FL 33406
(561) 689-6400
Fort Lauderdale, FL
February 28, 2015
Embassy Suites Fort Lauderdale
1100 SE 17th St
Fort Lauderdale, FL 33316
(954) 527-2700
Coral Gables, FL
March 01, 2015
Hyatt Regency Coral Gables
50 Alhambra Plaza
Coral Gables, FL 33134
(305) 441-1234
With Medicare cutting an estimated $1.7 Billion in reimbursements in the last two fiscal years combined with the $3,700
manual medical review process putting virtually all part B reimbursement at risk, the need for solid, consistently skilled
documentation is at an all time high. The Affordable Care Act brings further cuts to reimbursement, tightening the belt
further on companies that employ therapists across the nation. Skilled service providers that cannot document properly
are a liability to their employers and ultimately, themselves.
Documentation Bootcamp is a one-day workshop designed to take participants through the steps to denial-proof
documentation. Participants will learn how to interpret assessment data for patients on Medicare, set realistic functional
goals, and identify effective interventions to facilitate improvement of function based on accurate assessment data. By
strengthening therapy documentation skills, patients are protected from premature discharge from deserved care; extra
demands upon therapists due to denied claims that go through challenging appeals are prevented; and stable levels of
reimbursement for companies that employ therapists are ensured.
About Your Program Instructor
For more than 23 years John Adamson, PT, M.Div., has worked in physical therapy in a variety of skilled nursing, acute
care and home care settings as a clinical specialist, consultant and trainer. Mr. Adamson is involved in ongoing chart
audits for state and federal compliance, as well as for reimbursement, and has assisted in Medicare audits, including
ADRs and appeals. Mr. Adamson is a credentialed documentation auditor and recognized as a Master Clinician in
documentation and Complex Disease Management, as well as a Geriatric Enhanced Modality Specialist.
In his current role as Clinical Specialist, Mr. Adamson is responsible for ongoing oversight and instruction of therapists
and nursing professionals in the areas of vestibular and balance disorders, continence, dementia, diabetes, pain
management, seating and positioning, wound care management and modalities utilization. Mr. Adamson has also
developed a PRN clinical orientation manual and contributed to an orthopedic course for the post-acute patient.
One of his primary goals is to instruct therapists on the practice of consistent, solid and irrefutable documentation
to substantiate medical necessity and prevent denials. Mr. Adamson received his degree in Physical Therapy from
Northeastern University in Boston, Massachusetts.
Learning Objectives
1. Identify the therapist’s specific scope of practice as it relates to patient select of functional deficits.
2. Identify key underlying impairment categories that provide the basis for skilled assessment, and ID appropriate tools
for assessing them.
3. Utilize assessment of functional deficits and underlying impairments to choose an appropriate treatment diagnosis
and write a string reason for referral.
4. Select appropriate data from the MDS to formulate SMART goals.
R HANDS ON LAB
III. Writing SMART Goals
»» Specific
»» Measurable
»» Achievable
»» Realistic
»» Timely
IV. Choosing Appropriate Interventions
»» Based upon findings
»» Based upon goals
V.
Treatment Intensity (Frequency/Duration)
»» Factors in determining proper intensity
»» The dementia factor
»» When skilled care does not end…
R HANDS ON LAB
VI. Update Progress Reports and Recertifications
»» Further functional assessment
»» Maintaining regular underlying impairment measures for
further analysis
»» Justifying progress or lack thereof with proper analysis
»» Providing appropriate documentation of skilled necessity
of care.
R HANDS ON LAB
VII. The Discharge - Why, When, How
»» Writing a proper discharge summary
R HANDS ON LAB
5. Determine appropriate interventions based upon data and assessments.
8. Evaluate when discharge of care is appropriate, and justify entirety of care plan from SOC to discharge.
Join Our Faculty
Summit Professional Education is currently seeking qualified
professionals to develop and teach workshops nationally. Visit
www.summit-education.com/instructor for more information.
THE SUMMIT GUARANTEE
Summit Professional Education is a national leader in high-quality educational products and services for
today’s professional. Our seminars and training programs are designed to help professionals achieve
improved performance and results in all areas. Our faculty is the “best of the best” in their fields of expertise,
providing programs that really make a difference to participants. If for any reason you are not satisfied with
the program, simply notify the registrar of your intent to withdraw from the program prior to the first morning
break, turn in your workshop materials and receive a 100% refund or credit on a future program.
REGISTRATION, CONFIRMATION & CERTIFICATES
Confirmations of registration will be sent via email. A copy of your registration confirmation will serve as
Speech-Language Pathologists & Audiologists - This program is offered for 0.6 CEUs
(Intermediate level, Related Area). FL: Summit Professional Education is approved by the Florida
Board of Speech-Language Pathology and Audiology as a continuing education provider #50-8381, 6.0 hours.
Occupational Therapists - Summit Professional Education is an AOTA Approved Provider
of continuing education. This course is offered for 0.6 AOTA CEUs (6.0 contact hours). The
assignment of AOTA CEUs does not imply endorsement of specific course content, products, or
clinical procedures by AOTA. FL: Summit Professional Education is approved by the Florida Board
of Occupational Therapy Practice as a continuing education provider - #50-8381, 6.0 hours. GA:
This workshop meets the requirements for Georgia State Board of Occupational Therapy amended
rule 671-3-.08(5) and (10) Renewal of License, Penalties, Continuing Education Requirements. This
workshop is offered for 6.0 hours.
Physical Therapists - FL: This course has been submitted to CE Broker on behalf of the Florida
Physical Therapy Association for approval, 7.0 CEH. GA: As per policy #7 (f) of the Continuing
Competence Policy of the Georgia State Board of Physical Therapy a program approved by
another state board qualifies for class I approval. This course has been reviewed and approved by
the Arkansas Board of Physical Therapy, 6.0 hours.
Nursing Home Administrators - Summit Professional Education is a Certified Sponsor of
professional continuing education with the National Association of Long Term Care Administrator
Boards (NAB) and has approved this program for 6.0 clock hours, approval # 2022014-6.00-12337in. State licensure boards have final authority on the acceptance of individual courses. FL:
Summit Professional Education is approved by the Florida Board of Nursing Home Administrators
as an continuing education provider - #50-8381, 6.0 hours.
Rehab, Outpatient and Other Professionals - This seminar qualifies for 6.0 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 requirements.
Nurses - 6.0 contact hours - FL: Summit Professional Education is approved by the Florida Board
of Nursing as a continuing education provider - #50-8381, 6.0 contact hours.
This continuing nursing education activity was approved by the Tennessee Nurses Association, an
accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
This event contains intermediate level content.
SATISFACTORY COMPLETION
Participants must pay tuition fee, sign in, attend the entire seminar, complete an evaluation and
sign out in order to receive a certificate of completion. Participants not fulfilling these requirements
will not receive a certificate. Failure to sign in or out will result in forfeiture of credit for the entire
workshop. No exceptions will be made. Partial credit is not available.
WORKSHOP HANDBOOK
Included with your registration you will receive a comprehensive manual compiled by the
instructor.
DISCLOSURES: Guidelines exist whereby all speakers must disclose any relevant relationships.
John Adamson is compensated by Summit as an instructor. He has no non-financial relationships
to disclose.
6. Provide appropriate analysis of update progress notes.
7. Justify current plan of care and future skilled interventions at mandated intervals.
Continuing Education Credit
Workshop Schedule
7:30am – Registration & Breakfast
8:00am – Workshop Begins
11:30am - 12:30pm – Lunch On Your Own
3:30pm – Workshop Adjourns
SCOPE OF PRACTICE: Workshop content is not intended for use by participants outside of the
regulatory scope of practice of their license(s). You are responsible for knowing what lies within
and without your professional scope of practice.
Have continuing education credit questions? Please email our CE Department at
[email protected] for the latest approval status. Your instructor will break for 15 minutes in the
morning and afternoon at appropriate times.
your receipt for fees paid at the time of registration. Walk-ins are welcome but must register onsite. Please notify
us at least thirty (30) days in advance if you have special needs or require assistance. Certificates are mailed
to the seminar location 5 business days in advance. If your certificate is not available the day of the seminar,
please complete a certificate request onsite and a copy will be sent to you. Hotel locations must occasionally be
adjusted. Please provide an email address and phone number to receive any important updates.
attendee. If the cancellation is made within ten days or less, refunds will not be granted for any reason. A credit
voucher will be issued that may be used toward a future seminar. Credit vouchers are transferable and do not
expire. In cases of inclement weather where the seminar is conducted as scheduled, you may request a credit
voucher toward a future seminar. If we must cancel or change the seminar for any reason, our liability is limited
to the cost of tuition. If you register and do not attend, you are still responsible for payment.
SUBSTITUTION & CANCELLATION POLICY
Substitutions may be made at any time. Requests for cancellation must be received in writing by fax or mail
ten (10) days prior to the seminar in order to receive a refund less a $20.00 administrative charge per canceled
W-9: To download a copy, logon to www.summit-education.com/w-9
FEID Number: 47-1189590
800-433-9570 | www.summit-education.com