The Guide to Delivery of Home-Based Maintenance Therapy

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The Guide to Delivery of Home-Based Maintenance Therapy

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The Guide to Delivery of Home-Based Maintenance Therapy

The Guide to Delivery of Home-Based Maintenance Therapy contains regulatory information, analysis and advice for maintenance therapy care and documentation for the Part A/Part B Medicare beneficiary in a community (non-institutional) setting.

Home health agencies, under the Part A component of the benefit, or community-based outpatient therapy providers, under the Part B component of the benefit, can document care delivered correctly and without fear of denial using expert tools and guidance found in the up-to-date The Guide to Delivery of Home-Based Maintenance Therapy.

This guide contains both regulatory information and analysis as well as hands-on, practical advice for care and documentation of maintenance therapy delivered in a beneficiary’s home setting.  Updates include recent regulatory expansion to allow physical therapist and occupational therapist assistants to provide maintenance therapy care specifically in the home health setting. The guide also features tips from consultants, sample forms and a downloadable workbook of materials to assist with practical application of information.

This book contains tips, tools, and resources on:

  • UPDATED! Impact of PDGM on Therapy Utilization in Home Health
  • NEW! Role of the Therapy Assistants in Maintenance Therapy
  • NEW! Tips Sheet for Therapy Assistants
  • NEW! Electronic Workbook of Knowledge Application Activities
  • Identification of maintenance candidates
  • Goal writing strategies
  • Inclusion of therapy assistants in maintenance programs
  • Compliance with reassessment expectations
  • Care planning for the maintenance patient
  • Bonus! Documentation auditing tool

This book ensures Medicare coverage by:

  • Examining the regulations that apply to maintenance therapy
  • Providing practical advice and information on how to identify patients who require maintenance therapy, conduct patient assessments, and write goals
  • Guiding providers through defensible documentation related to maintenance therapy

After reading this book, readers will be able to:

  • Understand the regulations surrounding the provision of maintenance therapy
  • Determine which patients qualify as needing maintenance therapy
  • Plan and assess care of maintenance therapy patients
  • Document maintenance therapy with confidence

Judith Stein, a lead attorney on the Jimmo v. Sebelius case and executive director for the Center for Medicare Advocacy, has provided tools to help agencies better use maintenance therapy in their practice, including a Self-Help Packets specific to a variety of care settings.

A specific scenario is used throughout to demonstrate key concepts. To enhance knowledge application, a practice scenario is provided as well.

Published: February 2021

Page count: 210
Dimensions: 8.5x11
ISBN: 978-1-64535-086-6

About the Authors

Cindy Krafft PT, MS, HCS-O brings more than 20 years of home health expertise that ranges from direct patient care to operational / management issues as well as a passion for understanding regulations. Years spent in the direct patient environment solidified that this was the optimal setting for the provision of effective and efficient interdisciplinary care as it focuses on functionality and patient centered care delivery. Recognition that the providing care in the home environment presents both unique opportunities and challenges is clearly evident in both training and consultation activities.

Diana (Dee) Kornetti, PT, MA, HCS-D, HCS-C, 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 as Owner/Founder of a consulting business, Kornetti & Krafft Health Care Solutions, with her business partners Cindy Krafft and Sherry Teague. Dee is the current President of the American Physical Therapy Association’s Home Health Section and serves on the APTA’s national Post-Acute Work Group.