Post-Acute Advisor Podcast

Maintenance Therapy

Today we’ll be revisiting our conversation with Dee Kornetti and Cindy Krafft, owners and founders of Kornetti & Krafft Health Care Solutions. Both are recognized speakers in the areas of home health and physical therapy, bringing decades of expertise to offer compliance and revenue solutions.

We are talking about Cindy and Dee’s newly updated book, The Guide to Delivery of Home-Based Maintenance Therapy.

Before listening, please be aware of this important regulation update:

For Part B settings: PTs and, as of Jan. 1, 2021, PTAs, are permitted to provide skilled maintenance and rehabilitative treatment in Medicare Part B settings, including home health and SNFs. The change to allow PTAs to treat came with the 2021 Physician Fee Schedule Final Rule, in which CMS permanently permitted physical therapists to delegate maintenance therapy services to a PTA for outpatient services under Medicare Part B. (CMS will revise the Medicare Benefit Policy Manual, Chapter 15, Sections 220 and 230, to clarify that PTs no longer need to personally perform maintenance therapy services and to remove the prohibitions on PTAs from furnishing them.) PTs and PTAs still are expected to abide by existing rules that require the use of the CQ modifier when services are provided “in whole or in part” by the PTA.