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.
Please note after this course was recorded, as of Jan 1, 2021, PTA's can provide skilled maintenance treatment in Medicare B settings, including home health and skilled nursing facilities (SNFs). The 2021 Physical Fee Schedule Final Rule allowed for this change to allow PTAs to treat. PTA's are also allowed to provide maintenance therapy for Part A patients in Home Health settings and SNFs under a supervision of a PT who established the maintenance program.
Course created on August 20, 2018
On Demand
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; FL/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; NY/2.0; OK/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
Learning Outcomes
- 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
Agenda
| 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 |
Reviews
1158 ReviewsPresented By
Kenneth L. Miller
PT, DPT, GCS, CEEAA
Dr. Kenneth L. Miller is a board-certified geriatric clinical specialist, advanced credentialed exercise expert for aging adults, and credentialed clinical instructor from the APTA. He has over 26 years of clinical experience with the older adult population. Dr. Miller is an assistant professor at the University of North Texas Science Center with dual appointments in the Department of Physical Therapy in the School of Health Professions and in the Department of Internal Medicine and Geriatrics in the Texas College of Osteopathic Medicine.
His clinical focus is on best practices for use with the older adult population. He has spoken nationally and internationally on topics of gerontology including primary prevention, fragility, outcome measures, and pharmacology.
He serves on editorial boards related to geriatric care and physical therapy education including Topics in Geriatric Rehabilitation where he was guest editor for a thematic issue dedicated to pharmacology and nutrition. He also serves the physical therapy profession as director of practice for the Academy of Geriatric Physical Therapy and on several Academy Task Forces. Most recently, he has helped to develop the best practice guidelines for the Academy that describe best practices for the care of older adults. Dr. Miller is also a co-editor of the Ciccone's Pharmacology in Rehabilitation 5th edition textbook update.
More
Content Disclosure: This learning event does not focus exclusively on any specific product or service.
Course participation information
To ensure you are ready to participate, please complete our short Test Drive to prepare your computer to view the course.
Full attendance is required, and the times you log in and out will be recorded and documented. If you log in to a live webinar late or if you log out early, you may not be able to earn CE credit.
Passing an online exam and completing a course evaluation will be required to earn continuing education credit.
Live Webinars allow presenter and participant interaction. The exam and course evaluation for these courses must be completed within 7 days of the event.
On-demand courses include texts, video and audio recordings of live webinars, and multimedia formats. The exam and course evaluation for on-demand courses must be completed within 30 days of course registration.
To participate in the course, complete the exam and course evaluation, and earn continuing education credit, you must be a PhysicalTherapy.com member. Participants must complete the entire course; partial credit is not allowed.
PhysicalTherapy.com is committed to ensuring accessibility to the widest possible audience. We are continually improving the user experience for everyone. If you have questions, requests, or would like to report an accessibility-related issue, please email accessibility@continued.com. We will review your request and respond in a timely manner.
Visit our Contact us page or give us a call if you have questions.
California
PhysicalTherapy.com is a recognized continuing competency approval agency for the Physical Therapy Board of California. This course is offered for 2.0 hours of continuing competency.
CE Broker
PhysicalTherapy.com is approved to report to CE Broker for PTs and PTAs licensed in the states of FL, GA, MS, SC and TN, CE Provider #: 50-14089. If you are a PT/PTA in one of these states, CE Broker may be of interest to you.
International Association for Continuing Education and Training
continued, LLC, DBA PhysicalTherapy.com, is accredited by the International Association for Continuing Education and Training (IACET). continued complies with the ANSI/IACET Standard, which is recognized internationally as a standard of excellence in instructional practices. As a result of this accreditation, continued is authorized to issue the IACET CEU. continued, LLC, is authorized by IACET to offer 0.2 CEUs for this program.
IL Physical Therapy Continuing Education Sponsor
PhysicalTherapy.com is approved by the Illinois Department of Professional Regulation as a sponsor of continuing education for PTs/PTAs (Sponsor License #216000252). This course is offered for 2.0 hours (Introductory level).
KPTA
This course is offered for 2.0 hours (Introductory level, Category 2) by the Kentucky Physical Therapy Association (Provider #CS80-2012-KPTA).
New York
PhysicalTherapy.com is recognized by the New York State Education Department's State Board for Physical Therapy as an approved provider of physical therapy and physical therapist assistant continuing education.
Oklahoma
PhysicalTherapy.com is an Approved Provider by the Oklahoma State Board of Medical Licensure & Supervision for Physical Therapists, PT CE Provider BAP202310006. This course is offered for 2.0 hours of continuing education for Oklahoma PTs/PTAs.
Texas Physical Therapy Association
This course is offered for 2.0 hours (Introductory level) by the Texas Physical Therapy Association. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. The Texas Physical Therapy Association (TPTA) administers the CCAP on behalf of the Texas Board of Physical Therapy Examiners (Provider #2406033TX).
We recognize that state CE requirements are constantly changing. If you have any questions regarding our courses and your state requirements, please contact us at 866-782-6258 or contact Customer Service.