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Audit-proof ADLs in the HMO Era  


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Audit-proof ADLs in the HMO Era seminar agenda print utility



Pediatricians, Occupational Therapists, Occupational Therapy Assistants, Nursing Home Administrators, Rehabilitation Managers, Social Workers, Case Managers, Educators, Guidance Counselors


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Seminar Summary:

Therapists today face increasing audits for coverage of basic skill acquisition. Update your practice with A-Z protocols for assessment, treatment, and documentation, and replace denial-prone therapies with evidence-based alternatives that work. (see full course description)


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Training Course Syllabus:

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 reimbursements.

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.


• Analyze the neurological and biological deficits behind ADL dysfunction
• Distinguish ADL norms and disability predictors within culturally diverse patient populations
• 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 studies
• Revise practice standards for evaluation, intervention, plan of care, daily notes, and billing documentation in order to justify medical necessity and maximize reimbursement


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 seminars.

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


• Pediatricians
• Occupational Therapists
• Occupational Therapy Assistants
• Nursing Home Administrators
• Rehabilitation Managers
• Social Workers
• Case Managers
• Educators
• 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 requirements.

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 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 Process.

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 Check-in:  7:30 AM    Seminar Class 8:00 AM - 3:30 PM

Seminar Summary:

Therapists today face increasing audits for coverage of basic skill acquisition. Update your practice with A-Z protocols for assessment, treatment, and documentation, and replace denial-prone therapies with evidence-based alternatives that work. (see full course description) seminars and training is a member of the Seminar News Network and Training News Network Copyright 2008-2014.

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