Interprofessional Practice, Rules and Reimbursement for Dementia Management

Course Description: Addressing a patient's needs are challenging and complex when dementia is one of their diagnoses. The traditional approaches to their care have historically included each clinical team member developing their own plan of care and proceeding with such goals from their silo perspective. However, the rules of reimbursement and regulations from different settings now suggest that we collaborate and approach each patient's needs from a team perspective to achieve a greater clinical outcome. This course initially covers the types and levels of dementia, but also shares evidence and multiple examples of cognitive disorders that mimic dementia yet are treatable rather resulting in a progressive decline. Compliance and reimbursement issues are then shared to include protocols for dementia from the rules of participation in the Medicare and Medicaid programs and ICD-10 coding rules to utilize in medical records. Multiple examples will be shared of the improved outcomes through collaborative efforts of the interprofessional team members. Significant information will be shared about the rules and the effects of medications prescribed for people with dementia and multiple case studies will be shared of actual patients living with dementia, to include how interprofessional collaborative efforts resulted in optimal clinical outcomes.