The Post-Acute Care Guide to Maintenance Therapy Cindy Krafft

ISBN: 9781556451546

Published: April 27th 2015

Paperback

226 pages


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The Post-Acute Care Guide to Maintenance Therapy  by  Cindy Krafft

The Post-Acute Care Guide to Maintenance Therapy by Cindy Krafft
April 27th 2015 | Paperback | PDF, EPUB, FB2, DjVu, audiobook, mp3, ZIP | 226 pages | ISBN: 9781556451546 | 10.20 Mb

The Post-Acute Care Guide to Maintenance TherapyCindy Krafft, PT, MS and Diana L. Kornetti, PT, MAMedicare coverage for maintenance therapy in the post-acute world has been unclear, causing improper documentation and reimbursement for home healthMoreThe Post-Acute Care Guide to Maintenance TherapyCindy Krafft, PT, MS and Diana L.

Kornetti, PT, MAMedicare 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 therapyExplaining how to document at key instancesTips for defending medical necessityProviding practical advice and information on how to identify patients who require maintenance therapy, conduct patient assessments, and write goalsAfter reading this book, readers will be able to:Understand the proper use of maintenance therapyIdentify when and how to document care as maintenance therapyDetermine which patients qualify as needing maintenance therapyPlan and assess care of maintenance therapy patientsDocument maintenance therapy with confidenceUse the tools provided to help with comprehension and documentationTable of ContentsForewordChapter 1: Are We Providing Maintenance Therapy?Chapter 2: Defining Key TermsSkilledReasonableNecessaryRehabilitation PotentialChapter 3: Understanding the RegulationsQualifying CriteriaCoverage CriteriaHomebound StatusChapter 4: Identifying Maintenance PatientsRelevance of DiagnosisImpact of Chronic DiseaseChapter 5: Assessments and the Maintenance PatientChapter 6: Goals—Capturing the Impact of TherapyChapter 7: Care Planning With a Maintenance FocusChapter 8: Defending Medical Necessity on Routine VisitsChapter 9: Reassessments in Maintenance Cases – Mandatory and Clinically DrivenChapter 10: Tips for Identifying Maintenance PatientsChapter 11: Tips for Qualified TherapistsChapter 12: Tips for the Quality Review ProcessAppendicesAppendix A: CMS Jimmo v.

Sebelius Settlement Agreement Program Manual Clarifications Fact SheetAppendix B: The CMS MLN Matters: “Manual Updates to Clarify Skilled Nursing Facility (SNF), Inpatient Rehabilitation Facility (IRF), Home Health (HH), and Outpatient (OPT) Coverage Pursuant to Jimmo v.

Sebelius”Appendix C: Jimmo v. Sebelius, the Improvement Standard Case FAQsAppendix D: Self Help Packet for Skilled Nursing Facility Appeals Including “Improvement Standard” DenialsAppendix E: Self Help Packet for Home Health Care Appeals Including “Improvement Standard” DenialsAppendix F: Self-Help Packet for Outpatient Therapy Denials Including “Improvement Standard” DenialsAppendix G: Medicare Enrollment & Appeals Group’s Notification on Jimmo and Medicare Advantage PlansAppendix H: Center for Medicare Advocacy: About UsThis book contains tips, tools, and resources on:Identification of maintenance candidatesGoal writing strategiesCompliance with reassessment expectationsCare planning for the maintenance patientAlso included:Documentation auditing toolJudith 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.



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