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Maintenance Therapy in Home Health Revisited: Part 1

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1.  Objective testing is a requirement in the federal regulations for the home health setting. Which of the following resources contain the regulations for assessment/reassessment requirements inclusive of objective testing? Patient Protection and Affordable Care Act of 2010 Improving Medicare Post-Acute Care Transformation Act of 2014 Home Health Prospective Payment System Final Rule of 2011 Home Health Prospective Payment System Final Rule of 2015

2.  The spontaneous recovery statute states... Includes a list of specific diagnoses that exclude eligibility for require rehab intervention Includes a list of specific diagnoses that document eligibility for rehab intervention There is no spontaneous recovery statue in the regulations Therapy is not reasonable and necessary if patient has an easily reversible loss of function

3.  For restoration and maintenance, CMS... Defines restorative/rehabilitative therapy as reversing in part or whole a loss of function Defines restoration as improving function Defines maintenance as slowing functional decline Does not cover maintenance therapy

4.  The Jimmo settlement... Expanded Medicare coverage Created new maintenance therapy benefits Eliminated the improvement standard Does not modify, contract or expand eligibility requirements

5.  Which practice settings did the Jimmo settlement pertain to? Home Health, Skilled Nursing Facilities and not outpatient therapy facilities Home Health, Skilled Nursing Facilities and outpatient therapy facilities Inpatient rehab facilities, and outpatient therapy practices Home health and outpatient therapy facilities not skilled nursing facilities

6.  Maintenance therapy... Does not require functional reassessments Does not require OASIS Data collection Requires functional reassessments Requires improvement of function

7.  How many coverage options for providing therapy services in the home are available under the Medicare A benefit (Certified Home Health Agency CHHA)? 2 3 4 5

8.  Under the home health coverage benefit for maintenance therapy under Medicare, which of the following service providers would NOT be allowed to perform the visit? Occupational Therapist Physical Therapist Speech Language Pathologist Physical Therapist Assistant

9.  Which of the following terms most describes when services would be covered under the maintenance benefit according the transmittal 179? Preventing deterioration Preventing decline Demonstrating stabilization Demonstrating non-worsening

10.  What percentage of home health visits made are billed as maintenance therapy visits for occupational therapy? 0.72% 0.75% 0.48% 1%