Defensible Documentation in Home Health: Fundamental Concepts
Presented by Cindy Krafft and Diana (Dee) Kornetti
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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.
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
Cindy Krafft
Cindy Krafft brings more than 25 years of home health expertise that started with direct patient care and evolved to operational and management issues. Cindy recognizes that providing care in the home environment is different from providing care in any other setting, which is evident in both…
Diana (Dee) Kornetti
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…
Chapters & learning objectives
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.
More courses in this series
Defensible Documentation in Home Health: Fundamental Concepts
Diana (Dee) Kornetti and Cindy Krafft
Defensible Documentation in Home Health: Patient-Centered Care
Diana (Dee) Kornetti and Cindy Krafft
Defensible Documentation in Home Health: Quantifiable Information
Diana (Dee) Kornetti and Cindy Krafft
Defensible Documentation in Home Health: Care Planning & Goal Setting
Diana (Dee) Kornetti and Cindy Krafft