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Defensible Documentation in Home Health: Fundamental Concepts

presented by Diana (Dee) Kornetti, PT, MA, HCS-D, HCS-C and Cindy Krafft, PT, MS, HCS-O

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Financial: Dee Kornetti and Cindy Krafft are co-owners of the consulting business, Kornetti & Krafft Health Care Solutions. They receive compensation from MedBridge for this course.

Dee Kornetti is a chapter contributor to the  Handbook of Home Health Care Administration, 6th edition, and co-author of the book, The Post-Acute Care Guide to Maintenance Therapy, for which she receives compensation.

Cindy Krafft has written two books—The How-to Guide to Therapy Documentation and An Interdisciplinary Approach to Home Care and co-authored her third, The Post-Acute Care Guide to Maintenance Therapy, for which she receives compensation.

Nonfinancial: Dee Kornetti is the president of the Home Health Section of the APTA. Additionally, Dee Kornetti serves as the president of the Association of Homecare Coding and Compliance, and is a member of the Association of Home Care Coders Advisory Board and Panel of Experts.

Cindy Krafft has been involved at the senior leadership level of the Home Health Section of the American Physical Therapy Association. She has worked with CMS to clarify regulatory expectations and address proposed payment methodologies.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 45 Minutes; Learning Assessment Time: 19 Minutes

No one chooses to be a nurse or therapist based on a love of documentation, but the ability to effectively and efficiently communicate defensible content goes hand in hand with providing skilled care. Clinicians often lament the volume of documentation associated with working in home health and express frustration over the tools they are required to complete. This session will establish the foundation of defensible documentation and provide an overview of a framework supporting the ability to make documentation smarter, not harder.

Meet Your Instructors

Diana (Dee) Kornetti, PT, MA, HCS-D, HCS-C

Diana (Dee) Kornetti, a physical therapist for 30 years, is a past administrator and co-owner of a Medicare-certified home health agency. Dee now provides training and education to home health industry providers through a consulting business, Kornetti & Krafft Health Care Solutions. She serves as chief operations officer with her business partners Cindy Krafft and…

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Cindy Krafft, PT, MS, HCS-O

Cindy Krafft brings more than 20 years of home health expertise that ranges from direct patient care to operational and management issues. Years spent in the homes of patients confirmed that she was in the best setting to focus on functionality and the specific challenges faced by each patient. Cindy recognizes that providing care in…

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Chapters & Learning Objectives

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1. Getting the Lay of the Land

External scrutiny of home health documentation is not new, but it does take many forms. Clinicians need to know who is looking at what and, ultimately, why, in order to approach requirements in an intentional way. This chapter will outline the current and future trends and risk areas seen with external audits.

2. Critical Definitions

Many denials are tied back to documentation not supporting “skilled," "reasonable," and "necessary,” but hearing those terms over and over can make clinicians numb to what actual expectations are. This chapter will reframe these terms to establish the correct context for defensibility.

3. Coverage and Qualifying Criteria

Defensible documentation requires the clinician to speak to both coverage and qualifying criteria specific to the setting in which the clinician works. This chapter will compare and contrast both areas and provide strategies for compliance.

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