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Maintenance Therapy for Home- and Clinic-Based Providers: Part 1

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

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Disclosure Statement:

Financial: Cindy Krafft is co-owner of the consulting business, Kornetti & Krafft Health Care Solutions. 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. She receives compensation from MedBridge for this course.

Non-financial: 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.

Financial: Dee Kornetti is co-owner of the consulting business, Kornetti & Krafft Health Care Solutions. Dee Kornetti is a chapter contributor to the Handbook of Home Health Care Administration 6th edition, and co-authored a book, The Post-Acute Care Guide to Maintenance Therapy for which she receives compensation. She receives compensation from MedBridge for this course.

Non-Financial:  Dee Kornetti is the President of the Home Health Section of the APTAs. 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. 

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: 64 Minutes; Learning Assessment Time: 39 Minutes

Much discussion and interest have been generated since the ruling on Jimmo v. Sebelius occurred. However, lack of understanding at all levels of the organization regarding maintenance therapy has made people wary of providing this level of care, despite the fact it is part of what the Medicare beneficiary is entitled to. Without clarity, implementation risks are real, and there are few resources available to ensure appropriate patient identification, case management, and discharge planning. This course is applicable to the leadership and clinical staff of both home care agencies and outpatient therapy providers. This course will focus on defining skilled, reasonable, and necessary care; identification of individuals who would benefit from maintenance therapy; and the key elements of initial assessments and reassessment specific to this population.

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. Skilled, Reasonable, and Necessary Therapy

The clinician will connect a maintenance approach to care with the coverage criteria of skilled, reasonable, and necessary as outlined by the Medicare benefit regarding therapy services. The specific regulations applicable to both the home care and outpatient settings will be discussed.

2. Patient Identification

Analysis of strategies for identification of individuals that would benefit from a maintenance approach to care are discussed. Clinicians will be able to apply these strategies to a variety of patient examples.

3. Initial Assessment

Outline the key elements of an initial assessment that indicate the need for maintenance therapy. Clinicians will discuss the role of data collection and analysis in care decisioning for the maintenance therapy patient.

4. Reassessment

Discussion of the key elements of a reassessment that support ongoing care is integral. Clinicians will discuss the role of data collection and analysis in decisions for continuation of care or discharge for the maintenance therapy patient.

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