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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 Sherry Teague.

Dee is nationally recognized as a speaker in the areas of home care and standardized tests and measures in the fields of physical therapy, therapy training, and staff development in the home health arena. Dee is the immediate past editor of The Quarterly Report, a publication of the American Physical Therapy Association's Home Health Section, as well as a member of the Home Health Section's Practice and Education committees. She currently serves as the president of the Home Health Section of the APTA and has been an active member in good standing since 1986. Dee also currently serves as the president of the Association of Home Care Coding and Compliance and is a member of the Association of Home Care Coders Advisory Board and Panel of Experts.

Dee is a published researcher on the Berg Balance Scale and has coauthored the APTA's Home Health Section resources related to OASIS, goal writing, and defensible documentation for the practicing therapist. Dee has contributed chapter updates to the Handbook of Home Health Care Administration, 6th edition, and coauthored a book, The Post-Acute Care Guide to Maintenance Therapy.

Dee received her BS in physical therapy from Boston University's Sargent College of Allied Health Professions and her MA from Rider University in Lawrenceville, New Jersey. Her clinical focus has been in the areas of gerontology and neurological disease rehabilitation.

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Overview of Maintenance Therapy for Home- and Clinic-Based Providers

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

Overview of Maintenance Therapy for Home- and Clinic-Based Providers

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Video Runtime: 26 Minutes; Learning Assessment Time: 17 Minutes

Much discussion and interest has 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 provide a foundational overview of the opportunities for effective and efficient maintenance therapy programs, especially in the current payment and pandemic environment. The focus will be on home- and clinic-based care delivery models.

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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

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

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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.

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Maintenance Therapy for Home- and Clinic-Based Providers: Part 2

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

Maintenance Therapy for Home- and Clinic-Based Providers: Part 2

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Video Runtime: 65 Minutes; Learning Assessment Time: 25 Minutes

Much discussion and interest has 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 care planning, discharge planning, and the use of therapist assistants specific to the Medicare population.

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Maintenance Case Scenario: Home Health Part A

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

Maintenance Case Scenario: Home Health Part A

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Video Runtime: 20 Minutes; Learning Assessment Time: 15 Minutes

Much discussion and interest has 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 that 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 home care agency providers and will provide an opportunity to apply knowledge gained through participation in the maintenance therapy courses. The focus will be Medicare Part A home health.

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Maintenance Case Scenario: Home Health Part B

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

Maintenance Case Scenario: Home Health Part B

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Video Runtime: 19 Minutes; Learning Assessment Time: 16 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 that 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 agency and outpatient clinic providers. This course will provide an opportunity to apply knowledge gained through participation in the maintenance therapy courses. The focus will be Medicare Part B home health.

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Maintenance Case Scenario: Outpatient Therapy

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

Maintenance Case Scenario: Outpatient Therapy

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Video Runtime: 23 Minutes; Learning Assessment Time: 15 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 that 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 outpatient clinic providers. This course will provide an opportunity to apply knowledge gained through participation in the maintenance therapy courses. The focus will be outpatient therapy.

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PDGM Series: Practical Overview

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

PDGM Series: Practical Overview

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Video Runtime: 14 Minutes; Learning Assessment Time: 1 Minute

Clinical and office-based staff need to know the basics of the Payment-Driven Groupings Model (PDGM) in order to collect information and manage patients effectively. This course provides a practical overview of the PDGM as a foundation for future courses in this series.

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PDGM Series: The Role of Intake in PDGM

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

PDGM Series: The Role of Intake in PDGM

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Video Runtime: 13 Minutes; Learning Assessment Time: 1 Minute

Gathering information needed to accurately complete the required elements of the Payment-Driven Groupings Model (PDGM) starts before any clinician assesses the patient. This course provides the key elements that should be collected during the intake process.

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PDGM Series: The Role of Intake in Face-to-Face

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

PDGM Series: The Role of Intake in Face-to-Face

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An important component of initial information gathering involves the face-to-face (F2F) requirements. This course provides the key elements of F2F that should be collected during the intake process.

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PDGM Series: The Impact of OASIS

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

PDGM Series: The Impact of OASIS

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Video Runtime: 23 Minutes; Learning Assessment Time: 16 Minutes

One pillar of the Payment Driven Groupings Model (PDGM) is the functional assessment within the OASIS tool. Although these are not "new" items, they still present challenges. This course provides practical strategies for accurate OASIS data collection.

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PDGM Series: Case Management

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

PDGM Series: Case Management

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Video Runtime: 19 Minutes; Learning Assessment Time: 1 Minute

The Payment-Driven Groupings Model (PDGM) did not change any of the coverage or qualifying criteria for Medicare Part A Home Health services. Agencies continue to balance patient care and financial stability, which requires a clear understanding of how "need" is determined. This portion provides an example of intentional interdisciplinary care delivery in the context of reducing rehospitalizations.

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PDGM Series: LUPA Management

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

PDGM Series: LUPA Management

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Video Runtime: 19 Minutes; Learning Assessment Time: 1 Minute

Awareness of payment implications of clinical decision making is not the same as being driven by them. This course provides a framework for ensuring patients are receiving the appropriate number of visits--not too many or too few.

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PDGM Series: The Role of the Coder

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

PDGM Series: The Role of the Coder

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Video Runtime: 14 Minutes; Learning Assessment Time: 1 Minute

Two pillars of the Payment-Driven Groupings Model (PDGM) are driven by ICD-10 coding. Those with coding expertise are critical members of the team, as they assure official guidance is being followed. This course provides PDGM-specific information for coders.

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PDGM Series: Clinician Role in Coding

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

PDGM Series: Clinician Role in Coding

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Video Runtime: 21 Minutes; Learning Assessment Time: 2 Minutes

Two pillars of the Payment-Driven Groupings Model (PDGM) are driven by ICD-10 coding. Clinicians are both information gatherers and decision-makers when it comes to diagnosis inclusion and sequencing. This course provides PDGM-specific information for clinicians.

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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

Defensible Documentation in Home Health: Fundamental Concepts

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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.

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Defensible Documentation in Home Health: Patient-Centered Care

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

Defensible Documentation in Home Health: Patient-Centered Care

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Video Runtime: 28 Minutes; Learning Assessment Time: 19 Minutes

The "S" portion of the SOAP note ("subjective") is not a new concept when it comes to clinical documentation. With recent revisions to the Home Health Conditions of Participation, there is a renewed focus on the ability to speak to the patient experience and individualized care planning. This course will examine strategies for collecting subjective information and incorporating it into defensible documentation.

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Defensible Documentation in Home Health: Quantifiable Information

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

Defensible Documentation in Home Health: Quantifiable Information

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Video Runtime: 37 Minutes; Learning Assessment Time: 19 Minutes

The "O" portion of the SOAP note ("objective") is not a new concept when it comes to clinical documentation. Although the focus seems to be more on therapy than on nursing, all clinical documentation needs to contain a level of quantifiable information by which patient improvement or stabilization can be measured. The "A" portion ("assessment") goes hand in hand with the "O" as it is insufficient to just provide measures without analyzing the findings. This course will examine strategies for collecting and analyzing objective information and incorporating it into defensible documentation.

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Defensible Documentation in Home Health: Care Planning & Goal Setting

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

Defensible Documentation in Home Health: Care Planning & Goal Setting

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Video Runtime: 47 Minutes; Learning Assessment Time: 19 Minutes

The "P" portion of the SOAP note ("plan") is not a new concept when it comes to clinical documentation. Care planning is not just a task at a single point in time, but an evolving process over the course of care. Goal setting requires the balance between being measurable (quantifiable) and meaningful (patient focused). This course will examine strategies for creating individualized care plans with an interdisciplinary focus.

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ICD-10 Coding in PDGM: Critical Concepts for Clinician/Coder Alignment (Recorded Webinar)

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

ICD-10 Coding in PDGM: Critical Concepts for Clinician/Coder Alignment (Recorded Webinar)

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This course is a recording of a previously hosted live webinar event. Polling and question submission features are not available for this recording. Format and structure may differ from standard MedBridge courses. This course will provide the post-acute (home health) clinician with basic information regarding the ICD-10 Code Set, its purpose, and the importance of clinical documentation in the Patient-Driven Groupings Model (PDGM) taking effect January 1, 2020. Currently home health nurses, physical and occupational therapists, and speech-language pathologists commonly focus their documentation on those clinical findings that will receive skilled intervention to stabilize (maintain) or restore (improve) client functioning, leaving the underlying disease, disorder or condition relegated solely to medical history status. The PDGM will require clinicians to link foci of care to causative etiology(s) to ensure proper payment through primary grouping assignment and capture of available comorbidity adjustments.

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Home Health Conditions of Participation Part 1: Patient Care

Presented by Diana (Dee) Kornetti, PT, MA, HCS-D, HCS-C and Tricia Twombly, RN, BSN, HCS-D, HCS-O, HCS-H, HCS-C, COS-C

Home Health Conditions of Participation Part 1: Patient Care

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The CoPs provide the regulatory governance to ensure that participating home health agencies (HHAs) protect the health and safety of individuals under their care, and promote the effective and efficient use of Medicare funds. Part one of this two-part course provides an overview of the current home health Conditions of Participation (CoPs), as well as an in-depth look at two (2) of the five (5) key areas that comprise the CoPs. Specific areas related to patient rights, and care planning and care coordination are discussed in detail along with strategies for how to implement in daily decision-making activities related to client interactions, documentation and client care are included.

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Home Health Conditions of Participation Part 2: Agency Processes

Presented by Diana (Dee) Kornetti, PT, MA, HCS-D, HCS-C and Tricia Twombly, RN, BSN, HCS-D, HCS-O, HCS-H, HCS-C, COS-C

Home Health Conditions of Participation Part 2: Agency Processes

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The CoPs promote the effective and efficient use of Medicare funds and provide the regulatory governance to ensure that participating home health agencies (HHAs) protect the health and safety of individuals under their care. Part Two of this two-part course focuses on the specifics of assessment, performance improvement (QAPI), infection prevention and control, and skilled professional services. Emphasis on clinical application of CoP key components in daily decision-making activities related to client interactions, documentation, and client care are included.

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Home Health Assessment Part 1: Subjective and Objective Data Gathering

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

Home Health Assessment Part 1: Subjective and Objective Data Gathering

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Given the complexity of a home health assessment, where should the therapist start? Although the integration of electronic systems into home health have expanded the options for therapy documentation, the fundamental areas of the SOAP note continue to be the key elements for supporting medical necessity. This course will get "back to the basics" while moving practice forward by providing a structure for the S - subjective and O - objective components.

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Home Health Assessment Part 2: Data Analysis and Care Planning

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

Home Health Assessment Part 2: Data Analysis and Care Planning

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Once the data are collected, what should the therapist do with it? Documentation reveals that although some tests and measures are being used, the discussion often stops at the reporting of the results. Simply reporting a test score or numerical result is an incomplete representation of therapy skill. The SOAP format moves forward with the A - Assessment - and P - Plan - components.

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Home Health Assessment Part 3: Special Considerations for the Medically Complex Patient

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

Home Health Assessment Part 3: Special Considerations for the Medically Complex Patient

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What does the "typical" patient receiving therapy in the home setting look like? It seems the days of mostly orthopedic or post-CVA patients have passed, to be replaced by patients with much more complex medical conditions. Therapists need to be prepared to address the unique issues connected to specific patient populations, whose numbers are growing, that seek out home based options for care.

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An Overview of Critical Areas in Home Health

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

An Overview of Critical Areas in Home Health

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What makes therapy care planning different in a home-based model? At face value it may seem that the delivery of therapy is fundamentally the same across all settings but being in a person's home presents unique challenges and opportunities to maximize impact of functional ability. This course will set the stage for home based care by comparing and contrasting regulatory, care coordination and documentation expectations to facility based care.

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Webinars with Diana (Dee) Kornetti

View upcoming webinars View all free recordings

Apr 14, 2020

PDGM: What We Have Learned (So Far)

Presented by Diana (Dee) Kornetti and Cindy Krafft

No Recording Available

Dec 5, 2019

PDGM Preparation: Operational Strategies

Presented by Diana (Dee) Kornetti and Cindy Krafft

No Recording Available

Sep 18, 2019

ICD-10 Coding in PDGM: Critical Concepts for Clinician/Coder Alignment

Presented by Diana (Dee) Kornetti and Cindy Krafft

View Free Recording

Jun 18, 2019

Therapy Utilization in PDGM: the Good, the Bad, and the Ugly

Presented by Diana (Dee) Kornetti and Cindy Krafft

No Recording Available

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