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. This is Part 1 of this series.
Course created on October 11, 2018
Course Type: Video, Audio, Text
CEUs/PDUs Offered: AOTA/0.1 Introductory, Category 3: Professional Issues - Administration & Management; CE Broker/1.0 Home Study, General (FL), Management (AL), General Continuing Education (GA), Professional/Health Care Related (SC); IACET/0.1; NBCOT/1.25 Beginner, Admin And Management
- After this course, participants will be able to explain Medicare regulations pertaining to therapy provision in the home health setting.
- After this course, participants will be able to describe the difference between restorative and maintenance therapy.
- After this course, participants will be able to describe the home health G-codes for therapy billing and related EMR service codes.
- After this course, participants will be able to list documentation criteria for maintenance care in home health.
- After this course, participants will be able to identify OASIS data to justify maintenance level therapy provision.
|5-10 Minutes||Background, review of learner outcomes|
|10-55 Minutes||Restorative vs. maintenance therapy definitions and regulations|
|55-60 Minutes||Summary, Q & A|
Kenneth L. Miller, PT, DPT, 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 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.
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Content Disclosure: This learning event does not focus exclusively on any specific product or service.
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American Occupational Therapy Association
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