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

Presented by Cindy Krafft and Diana (Dee) Kornetti

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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

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…

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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…

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Chapters & learning objectives

Skilled, Reasonable, and Necessary Therapy

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.

Patient Identification

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.

Initial Assessment

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.

Reassessment

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.