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.
On Demand
Course Type: Recorded Webinar
CEUs/Hours Offered: AK/2.0; AL/2.0; AR/2.0; AZ/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; IN/2.0; KS/2.0; 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; OK/2.0; OR/2.0; PA/2.0; RI/2.0; SD/2.0; TN/2.0; UT/2.0; VA/2.0; VT/2.0; WA/2.0; WI/2.0; WY/2.0
Course Type: 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
Course created on August 20, 2018
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
1243 ReviewsPresented By
Kenneth L. Miller
PT, DPT, GCS, CEEAA
Dr. Ken Miller, PT, DPT, is a board-certified geriatric clinical specialist and advanced credentialed exercise expert for aging adults. Dr. Miller is an assistant professor at the Medical University of South Carolina in the Division of Physical Therapy and serves as the founding director of the USC Geriatric Residency Program. His clinical focus is on best practices for use with the older adult population. Dr. Miller is the Director overseeing Practice for the Academy of Geriatric Physical Therapy. He has spoken nationally and internationally on topics of gerontology, including pharmacology, primary prevention, frailty, outcome measures, best practices, and pain management for the older adult. Dr. Miller has over 20 years of clinical expertise in risk mitigation and error prevention and is currently researching well-being, mental health, and burnout in physical therapists.
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Content Disclosure: This learning event does not focus exclusively on any specific product or service.
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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 #2706033TX).
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