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

Presented by Cindy Krafft and Diana (Dee) Kornetti

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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.

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

Why Maintenance Matters

1. Why Maintenance Matters

Presentation of a maintenance approach to care for the Medicare Part A/B patient is outlined. Clinicians will be able to correctly identify when maintenance therapy is appropriate to ensure care decisioning that is defensible to third-party payers.

Jimmo v. Sebelius

2. Jimmo v. Sebelius

Examination of the impact of Jimmo v. Sebelius on care delivery is discussed. Clinicians will become familiarized with the specifics of this court case impacting care delivery of the Medicare Part A/B patient.

Applicable Regulations

3. Applicable Regulations

Exploration of the relevant regulations specific to the provision of maintenance therapy in the home or clinic are detailed. Clinicians should be comfortable with coverage parameters when treating the Medicare patient.