Medicare coverage for maintenance therapy in the post-acute world has been unclear, causing improper documentation and reimbursement for home health agencies, skilled nursing facilities (SNF), outpatient therapy, and rehabilitation facilities.
This guide contains both regulatory information and analysis as well as hands-on, practical advice for care and documentation. Advice given is specific to each post-acute care setting. The guide also features tips from consultants, tools from the Center of Medicare Advocacy and information from CMS, downloadable materials, and sample forms and worksheets for easy comprehension of information.
This book ensures Medicare coverage by:
- Guiding providers through the documentation process related to maintenance therapy - Explaining how to document at key instances - Tips for defending medical necessity - Providing practical advice and information on how to identify patients who require maintenance therapy, conduct patient assessments, and write goals
After reading this book, readers will be able to:
- Understand the proper use of maintenance therapy - Identify when and how to document care as maintenance therapy - Determine which patients qualify as needing maintenance therapy - Plan and assess care of maintenance therapy patients - Document maintenance therapy with confidence - Use the tools provided to help with comprehension and documentation
Table of Contents
Foreword Chapter 1: Are We Providing Maintenance Therapy? Chapter 2: Defining Key Terms Chapter 3: Understanding the Regulations Chapter 4: Identifying Maintenance Patients Chapter 5: Assessments and the Maintenance Patient Chapter 6: Goals Capturing the Impact of Therapy Chapter 7: Care Planning With a Maintenance Focus Chapter 8: Defending Medical Necessity on Routine Visits Chapter 9: Reassessments in Maintenance Cases Mandatory and Clinically Driven Chapter 10: Tips for Identifying Maintenance Patients Chapter 11: Tips for Qualified Therapists Chapter 12: Tips for the Quality Review Process Appendices
This book contains tips, tools, and resources on: 
- Identification of maintenance candidates - Goal writing strategies - Compliance with reassessment expectations - Care planning for the maintenance patient
Also included:
- Documentation auditing tool
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 for Home Health Care/Outpatient/Nursing Appeals, Including 'Improvement Standard' Denials.
A specific scenario is used throughout to demonstrate key concepts. To enhance knowledge application, a practice scenario is provided as well.

The Post-acute Care Guide to Maintenance Therapy

Medical Books

Krafft, Cindy

Kornetti, Diana L.

Administration & Medicine Economics

HCPro, Inc.

Therapy utilization is under scrutiny by the federal government, making defensive and accurate therapy documentation crucial to home health agencies. In fact, high therapy utilization is one of six target areas for the Program for Evaluating Payment Patterns Electronic Report. The Handbook to Home Health Therapy Documentation, sold in convenient packs of 10, is your tool for frontline therapist education. Through clear and practical scenarios, and the know-how of expert author Cindy Krafft, PT, MS, therapists will be able to integrate complete documentation to avoid claim denial, fraud, or compliance issues. This handbook will teach you how to: - Understand the theory and purpose of documentation to avoid incidents of claim denial, fraud, or noncompliance - Coordinate documentation between therapists and other members of the clinical team to improve patient care - Develop measurable and meaningful goals - Conduct and document assessments that show medical necessity - Set appropriate visit frequencies and durations - Document OASIS correctly Table of Contents: The World of Home Health Documentation: The 'D' Word Medical Necessity OASIS Assessments Goals Planning Care Routine Visits Reassessments

The Handbook for Home Health Therapy Documentation

Nursing

See the best price to sell, buy, or rent books by Krafft, Cindy. BookScouter helps to compare book prices from 25+ online bookstores and 30+ buyback vendors with a single search.

Books by Krafft, Cindy