Providing high quality documentation of skilled services to Medicare beneficiaries begins with an adequate understanding of regulations set forth via the Medicare Benefit Policy Manual and Local Coverage Determinations in regards to key areas including: skilled versus non-skilled procedures; traditional interventions versus maintenance based plans of care; establishing interventions to promote return from baseline to prior level of function; initiating caregiver training to promote carryover of skilled interventions upon discharge from care; and documenting outcomes of reasonable and necessary services via goal targets which are functional and measurable.