The Medicare Benefit for Home Health under Part A includes both restorative care and maintenance therapy. The Benefit Manual clearly states that coverage determination for maintenance service provided is not dependent on any "improvement standard" but, rather on whether there is a need for skilled care. The purpose of this course is to provide the CMS regulations regarding maintenance therapy in home health define rehabilitation and maintenance level care and provide examples of appropriate maintenance episodes.
Course created on August 20, 2018
Course Type: Recorded Webinar, Audio
CEUs/Hours Offered: AK/2.0; AL/2.0; AR/2.0; AZ/2.0; CA/2.0; CO/2.0; CT/2.0; DE/2.0; GA/2.0; HI/2.0; IA/2.0; IACET/0.2; ID/2.0; IL/2.0; IN/2.0; KS/2.0; KY/2.0 Category 2; MA/2.0; ME/2.0; MI/2.0; MO/2.0; MS/2.0; MT/2.0; NC/2.0; ND/2.0; NE/2.0; NH/2.0; NM/2.0; NY/2.0; OR/2.0; PA/2.0; RI/2.0; SC/2.0; SD/2.0; TN/2.0; TX/2.0; UT/2.0; VA/2.0; VT/2.0; WA/2.0; WI/2.0; WY/2.0
- Explain Medicare regulations pertaining to therapy provision in the home health setting
- Describe the difference between restorative and maintenance therapy
- Describe the home health G-codes for therapy billing and related EMR service codes
- List documentation criteria for maintenance care in home health
- Use OASIS data to justify maintenance level therapy provision
|0-15 Minutes||Background, review of learner outcomes|
|15-45 Minutes||Restorative vs maintenance therapy definitions and regulations|
|45-75 Minutes||Therapy G codes, regulations, and documentation requirements|
|75-115 Minutes||Case scenarios and care planning|
|115-120 Minutes||Summary, Q&A|
Kenneth L. Miller, PT, DPT, GCS, CEEAA
Dr. Kenneth L. Miller is a physical therapist and educator with more than 20 years of experience working with older adults in the home and inpatient rehab settings, as well as more than 7 years in adjunct faculty roles for Touro College and the University of St. Augustine. He is a board certified geriatric clinical specialist, certified exercise expert for aging adults and certified clinical instructor. Dr Miller is a clinical educator at Catholic Home Care in New York and active in the Academy of Geriatric Physical Therapy and Home Health Section of the APTA. He chairs the APTA's Home Health Section Practice Committee and is a member of the editorial boards of Topics in Geriatric Rehabilitation, GeriNotes, and is a manuscript reviewer for the Journal of Geriatric Physical Therapy.
Content Disclosure: This learning event does not focus exclusively on any specific product or service.
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