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    24 Courses

Tina Marrelli

MSN, MA, RN, FAAN

Tina Marrelli is the president of Marrelli and Associates, Inc., a publishing and consulting firm working in home care for more than 30 years. Tina is the author of 13 books, including the Handbook of Home Health Standards: Quality, Documentation, and Reimbursement (6th edition, 2018). Other books include A Guide for Caregiving: What's Next? Planning for Safety, Quality, and Compassionate Care for Your Loved One and Yourself (2017), Hospice and Palliative Care Handbook (3rd edition, 2018), The Nurse Manager's Survival Guide (4th edition, 2018), and the best-selling home health aide educational system, Home Health Aide Guidelines for Care: A Handbook for Caregiving at Home and its accompanying Nurse Instructor Manual. Tina served on the workgroups that defined the first hospice nurse standards, as well as serving as a reviewer in 2014 for the revised Home Health Nursing: Scope and Standards of Practice through the American Nurses Association.

Tina attended Duke University, where she received her undergraduate degree in nursing. She also has masters degrees in health administration and in nursing. Tina has worked in the public health sector at hospitals and nursing homes and has practiced as a visiting nurse or manager in home care and hospice for more than 20 years. Tina also worked at Medicare's central office (CMS) for four years on Medicare Part A home care and hospice policies and operations and served as the interim branch chief for Medicare Part B. Tina loves policy and the nuances that frame care, practice, and delivery.

Tina is an international health care consultant, specializing in home care and models of care provided in the community to people at home. Tina and her team of specialized consultants have been in business since 2002 and provide services related to the "design and implementation of challenges to providing home and community-based care." In that capacity, they have served more than 100 clients throughout the world; clients who represent varying segments of service to home care and/or related products. Services have included custom presentations, software development, educational services, team leadership monitoring the OIG, accreditation services, new organizational startups, due diligence, feasibility studies, and more.

Tina has been the editor of three peer-reviewed publications, most recently of Home Healthcare Nurse (now Home Healthcare Now), on which she served as the editor-in-chief for eight years. She is also an emeritus editor for Home Healthcare Now. In addition, Tina serves on the editorial boards of the Journal of Community Health Nursing and The American Nurse.

Tina is the chief clinical officer for e-Caregiving, www.e-Caregiving.com, a web-based support and educational system for family and friend caregivers created to support advocacy and improve care across the health care continuum.

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HHA: Caring for a Patient With Dementia

Presented by Tina Marrelli, MSN, MA, RN, FAAN

HHA: Caring for a Patient With Dementia

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Video Runtime: 27 Minutes

One in three seniors dies from Alzheimer's or dementia every year. In 2018, Alzheimer's and other dementias will cost the nation $277 billion, and these costs could escalate to $1.1 trillion in the next 30 years. Increasingly, home health and hospice aides care for the patients with dementia. While Alzheimer's disease is the most familiar type of dementia, there are many others. Understaning the different types of dementia and the areas of the brain they affect will help the aide to care for people with different types of dementia. Underlying the practice of the aide should be a patient- and family-centered approach to dementia care, which involves tailoring care to the abilities and the changing needs of each person affected by the disease.

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Making a Successful Transition From Clinician to Manager

Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN

Making a Successful Transition From Clinician to Manager

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Video Runtime: 33 Minutes; Learning Assessment Time: 24 Minutes

Making a successful transition from clinician to manager can be fraught with concerns and missteps. Understanding the transition from peer/coworker/colleague to manager brings a new level of skills needed for success. This fundamental course takes the position that clinicians can make this transition with guidance, support, and a great orientation/onboarding experience. What, then, does this information look like in action? This course seeks to identify some of the common concerns, address some of the important roles and responsibilities, and provide an example and key strategies to help make this transition successful for both the new manager and the organization. This is the first course in a four-part series on clinical management and supervision. Please continue to Introduction to Clinical Management and Supervision upon completion.

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Fundamentals of Clinical Supervision

Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN

Fundamentals of Clinical Supervision

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Video Runtime: 52 Minutes; Learning Assessment Time: 24 Minutes

This course addresses the important and multifaceted roles that comprise the clinical manager or supervisor. Though the terms, titles, and purview may vary from organization to organization, there is a discrete set of skills that can help the clinical supervisor (CS) be successful in this role. Whether supervising aides, a group of patients and their care plans, or other care models, the CS plays a pivotal role that helps achieve the organization's mission, as well as quality, safety, and any number of metrics. The skills needed--effective communication, role-play, and coaching and counseling for success--will be addressed. These skills will help you become proficient in your role--that of the clinician supervisor. This is the third course in a four-part series on clinical management and supervision. Please continue to the fourth course Essential Elements of Clinical Supervision upon completion.

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Preparing Family Caregivers Part 2: Education in Home Care & Hospice

Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN

Preparing Family Caregivers Part 2: Education in Home Care & Hospice

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Video Runtime: 20 Minutes; Learning Assessment Time: 6 Minutes

Home care and hospice team members must rely on family, friends, or other lay caregivers to help patients throughout the plan of care. Sometimes it is easy to assume that these key members of the health care team already understand the health care environment and its complexity. It is important to assume at the onset of care that they may not. With this in mind, this foundational course helps team members work with family caregivers to improve knowledge and care. Safety and quality are addressed, as well as care between and after visits.

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Introduction to Clinical Management and Supervision

Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN

Introduction to Clinical Management and Supervision

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 40 Minutes; Learning Assessment Time: 23 Minutes

Understanding the transition from peer/coworker/colleague to manager brings a new level of skills needed for success. This course takes the position that clinicians can make this transition with guidance, support, and a great orientation/onboarding experience. What, then, does this information look like in action? In this course, we will identify common concerns, and address the important roles and responsibilities of the new manager, providing examples and key strategies to help make this transition successful for both the new manager and the organization. This course is a continuation from Making a Successful Transition From Clinician to Manager and the second course in a four-part series on clinical management and supervision. Please take the third course Fundamentals of Clinical Supervision upon completion.

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Essential Elements of Clinical Supervision

Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN

Essential Elements of Clinical Supervision

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 51 Minutes; Learning Assessment Time: 24 Minutes

This course addresses the important and multifaceted roles that comprise the clinical manager or supervisor. Though the terms, titles and purview may vary from organization to organization, there is a discrete set of skills that can help the clinical supervisor (CS) be successful in this role. Whether supervising aides, a group of patients and their care plans, or other care models, the CS plays a pivotal role that helps achieve the organizations mission, as well as quality, safety and any number of metrics. The skills needed, effective communications, role playing and coaching and counseling for success will be addressed. Help your team members become proficient in their role--that of the clinician supervisor. This course is a continuation from Fundamentals of Clinical Supervision and the fourth course in a four-part series on clinical management and supervision.

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Comprehensive Home Care Assessment Part 1: Key Elements & Requirements

Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN

Comprehensive Home Care Assessment Part 1: Key Elements & Requirements

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Video Runtime: 24 Minutes; Learning Assessment Time: 5 Minutes

No encounter or visit is as important as the first visits that comprise the comprehensive assessment in home care. The comprehensive assessment is the driver for all patient care and related planning in home care. This foundational course presents a holistic review of the Medicare comprehensive assessment requirements as defined by the Medicare Conditions of Participation 484.55. This information can be integrated into your organization's operational processes related to patient assessment and care planning. An interactive patient example will be featured, with lessons learned, and areas of improvement will be demonstrated.

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Comprehensive Home Care Assessment Part 2: Data Review & Care Planning

Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN

Comprehensive Home Care Assessment Part 2: Data Review & Care Planning

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Video Runtime: 43 Minutes; Learning Assessment Time: 6 Minutes

This course continues the comprehensive assessment, which comprises the building blocks for effective care and care planning. Effective assessment skills, such as active listening, observation and assessment, critical thinking, and other strategies for success, are integrated into this foundational course.

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Preparing Family Caregivers Part 1: Roles in Home Care & Hospice

Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN

Preparing Family Caregivers Part 1: Roles in Home Care & Hospice

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 32 Minutes; Learning Assessment Time: 6 Minutes

Home care and hospice team members must rely on family, friends, or other lay caregivers to help patients throughout the plan of care. Sometimes it is easy to assume that these key members of the health care team already understand the health care environment and its complexity. It is important to assume at the onset of care that they may not. With this in mind, this foundational course helps team members work with family caregivers to improve knowledge and care. Safety and quality are addressed, as well as care between and after visits. A patient and family exemplar will be featured, patient and family perspectives will be examined with lessons learned, and reflection activities for improvement will be explored.

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Caring for the Oldest Old at Home Part 1: Profiles and Practical Issues

Presented by Tina Marrelli, MSN, MA, RN, FAAN and Nathalie Rennell, MSN, RN, CNE

Caring for the Oldest Old at Home Part 1: Profiles and Practical Issues

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Video Runtime: 37 Minutes; Learning Assessment Time: 7 Minutes

This is Part One of a two-part series about Caring for the Oldest Old. Given demographics, the increasing complexity and chronicity of care, and a number of other factors, the oldest old are increasing in numbers. The demographic changes can create unique challenges for home care and hospice personnel. This course is specifically designed for giving a background of who the oldest old are (including patient exemplars and shared experiences of the oldest old) and practical issues impacting the oldest old. It will dive into findings and changes that are associated with the oldest old.

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Caring for the Oldest Old at Home Part 2: Strategies for Quality Care

Presented by Tina Marrelli, MSN, MA, RN, FAAN and Nathalie Rennell, MSN, RN, CNE

Caring for the Oldest Old at Home Part 2: Strategies for Quality Care

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Video Runtime: 40 Minutes; Learning Assessment Time: 7 Minutes

This is Part Two of a two-part series about Caring for the Oldest Old. The exemplars of Otto Glass and Mika Hiuga will be revisited from several perspectives in this course. The largest payer for home care and hospice is Medicare. By definition, Medicare is the medical insurance for people over 65. This course will identify qualifying criteria of when and what services can be provided to patients. It will also assess care planning and considerations of the oldest old. This course is specifically designed for the home care and hospice team members who coordinate and provide care for the oldest old patient population, including those who are frail, with a compassionate, evidence-based practice approach.

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Identifying, Communicating, & Documenting Patient Change in Condition

Presented by Cathleen Armato, RN, CHC and Tina Marrelli, MSN, MA, RN, FAAN

Identifying, Communicating, & Documenting Patient Change in Condition

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This course provides team members with the fundamental framework about effectively identifying, communicating, and documentation a change in a patient's condition or status. One fundamental standard in home care and hospice is that the physician has a unique and multifaceted role in regards to orders, care, and the treatment plan. Care and orders are based on the patient's care needs and findings, usually at the initial assessment. As patient's care and status improve, decline, or otherwise change, physicians are notified and the plan of care may change, based on orders. These processes are a part of the care planning, nursing or problem-solving cycle. There are a number of standards of practice, best practices, and regulations about these components of care and this course provides examples and key strategies for effectively addressing a patient change in condition.

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Fundamentals of Chronic Condition Management

Presented by Cathleen Armato, RN, CHC and Tina Marrelli, MSN, MA, RN, FAAN

Fundamentals of Chronic Condition Management

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Fundamentals of Chronic Condition Management will prepare clinicians to form a successful partnership with their patients who are managing complex health conditions on a daily basis. This course provides an overview of chronic condition management in the United States and how it has changed over time. Chronic condition management models will be reviewed, with emphasis on patient self-management. This course provides practical tips and tools to help the patient and clinician map out a plan and successfully navigate that plan to healthier living with managed conditions.

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Coaching and Counseling: Tips for Success

Presented by Cathleen Armato, RN, CHC and Tina Marrelli, MSN, MA, RN, FAAN

Coaching and Counseling: Tips for Success

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In a perfect world, everyone would complete their jobs flawlessly and without any management intervention or monitoring. The good news is that the skills of coaching and counseling are key to success in all organizations and that effective skills can be modeled and learned. This course provides the fundamentals of effective coaching and counseling, with strategies for beginner and experienced managers. Examples, role-playing, the answer to "What do I do next when this coaching is not working?" and more are addressed in this course. Taught in a collaborative and practical manner, this course provides the how-to needed for managers and others to help achieve personal, program, and organizational goals.

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Writing for Professional Publication

Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN

Writing for Professional Publication

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Writing can be a daunting chore or a pleasure-it all depends on the skill set; this shows most clearly when it is time to start thinking and writing/typing in the words! There are a number of reasons to write (and sometimes as many not to write). This foundational course reviews the reasons to consider writing, the barriers to writing success, and some of the practical nuts, bolts, and pitfalls. Created by an experienced book and journal author and editor, information includes reasons to write, picking a topic, understanding the journal and book worlds, working with editors, navigating peer review, and how to turn your idea into a successful manuscript. Join us on the path to making an impact on quality in health care--through effective polished writing and successful publication.

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Presentations Part 1: Development, Strategies and Tips for Success

Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN

Presentations Part 1: Development, Strategies and Tips for Success

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This course is part 1 of a two-part series and is designed to assist those new to developing, implementing, and evaluating effective professional presentations. Developing presentations is a complex activity that must be planned carefully. At times, this process can be overwhelming as the design, development, and preparation of the presentation typically consumes more time than the delivery of the material. Part 1 of this course will explore the key elements required and strategies for effective development of polished and professional presentations.

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Presentations Part 2: Principles of Learning and Effective Communication

Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN

Presentations Part 2: Principles of Learning and Effective Communication

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In Part 1 of this program the course provided information on the technical elements of developing effective presentations. In Part 2 the course will continue with the discussion of the softer skill set that is required for YOU as the presenter for effective delivery of presentation material. Chances are if you are checking out this program you are either wanting to improve your current presentation skills or you are new to giving presentations. The topics included in this course are those that can have the greatest impact on the effectiveness of how the message is delivered in any type of presentation. This course includes strategies to support overcoming the fear of public speaking, strategies to support and improve the effectiveness of your communication, as well as a review of adult learning principles. Having an awareness of these topics can increase your comfort level with public speaking and ensure your very important message is delivered effectively.

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What is Case Management in Home Care?

Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN

What is Case Management in Home Care?

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Video Runtime: 68 Minutes; Learning Assessment Time: 48 Minutes

The home health industry demands that patient care be provided in an efficient and effective manner. Case management is a strategy which supports this demand. This course defines the concept of case management and discusses the skills and core knowledge concepts required to manage not only individual patient episodes but entire caseloads of patients. Strategies for applying this process to individual patients and caseloads will be discussed with practical examples that can be applied in the care practice setting.

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How to Make an Effective Home Visit

Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN

How to Make an Effective Home Visit

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Video Runtime: 79 Minutes; Learning Assessment Time: 31 Minutes

This foundational course addresses the three parts of the patient home visit and information and processes that surround and support effective and holistic home visits. This includes a practical and holistic definition of a home visit, the use of the care planning process through the visit, the patient-related and other activities that occur during a skilled visit, and strategies to document care that was provided during the visit. This course will also explain why having exemplary organizational, clinical, and interpersonal skills is key to making value-based home visits. This is because numerous and complex facets of care, including the patient's goals, the plan of care, physician orders, care team members, the patient's environment, care coordination, and communication, all come together in this structured, person-centered encounter.

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Welcome to Home Care: An Overview

Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN

Welcome to Home Care: An Overview

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Video Runtime: 25 Minutes; Learning Assessment Time: 18 Minutes

This foundational course offering provides a big picture overview of home care. Home care comprises many models of care delivery systems and types of home care. A brief history of home care, a snapshot of where we are now by the numbers, and the differences between home care and any other health care practice setting are addressed. A holistic and practical definition of home care is also presented. Additionally, this course will also explain why having exemplary clinical, self-motivational, organizational, and people skills is key to success in home care practice and management.

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Orientation: An Overview of Documentation Requirements in Home Care

Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN

Orientation: An Overview of Documentation Requirements in Home Care

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Video Runtime: 59 Minutes; Learning Assessment Time: 31 Minutes

Today's home care clinicians must have an understanding of the trends, regulations, and other external factors that impact care provided and the documentation surrounding care. Home care is a global term, and home care services can range from solely personal care services (non-medical) to very skilled levels of care with licensed nurses providing care to medically fragile adults and children. Because of this, there are many models and methods of delivering home care. For purposes of this course, we will be focusing primarily on the provision of "visits" as the primary model of home care vs. hourly care. Medicare is the largest payer of home health services, and visits are the usual unit of care delivery. Medicare sets the standards for home care, regardless of the payer. It is for this reason that an overview of documentation requirements is the first course. The differences in documentation requirements for home care versus other settings (e.g., OASIS) will de discussed, and the purposes of documentation, supporting medical necessity, and coverage criteria will also be addressed. This course is designed to provide tangible tools for both clinicians and leadership/management to apply as they improve their processes and practices related to effective documentation in home care.

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Orientation: Care Planning

Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN

Orientation: Care Planning

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Video Runtime: 97 Minutes; Learning Assessment Time: 52 Minutes

The ability to perform an accurate comprehensive assessment and develop an individualized plan of care for home care patients is the foundation for care delivery in home care. This course will review the steps of the care planning process, a type of problem solving method. A discussion will be provided regarding the application of this process and the value it brings to patient care.

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Orientation Program: Team Member Safety in the Community

Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN

Orientation Program: Team Member Safety in the Community

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Video Runtime: 45 Minutes; Learning Assessment Time: 33 Minutes

This course addresses the common safety-related factors in the community and home environments. Home care team members can be exposed to a number of potentially serious hazards which range from dangerous pets (eg. biting) to firearms (ie. guns) in homes. Environmental hazards include smoke, needlesticks, unhygienic homes, germs and pathogens, structural house problems, hoarding and many others. This course seeks to identify some of these safety hazards and dangers so that clinicians and managers/leaders can better understand and apply their risk management and safety policies related to such situations and protect their team members.

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Medicare Coverage and Documentation Requirements: The Fundamentals

Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN

Medicare Coverage and Documentation Requirements: The Fundamentals

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Video Runtime: 87 Minutes; Learning Assessment Time: 40 Minutes

The value of the clinical documentation that supports the tenets of coverage and quality cannot be overstated. Clinicians and managers/leaders need to proactively describe care and services in the terms detailed in the Medicare Benefit Policy Manual, Chapter 7. This, then, is the guidebook when seeking answers, examples, and clarity. This overview describes the fundamentals of Medicare coverage and the associated required documentation to support medical necessity, the individual patient's need for the skilled care and service, and the tenets of the home care program.

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