Occupational Therapy

Bon appétit for therapy!

Bon appétit for therapy!

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Once upon a time, in a faraway land, physical, occupational and speech therapy used to provide group therapy and often co-treat. This was a totally different time and place for the history of rehabilitation.

Rehab settings in flux

Rehab settings in flux

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Providers are establishing therapy rooted in person-centered care, including activities that help cognitive functioning, balance, memory and awareness

Therapy patients need, and deserve, this simple self-image booster

Therapy patients need, and deserve, this simple self-image booster

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Have you ever had a day when you looked great but felt depressed? Or you looked your worst but felt great? Perception of self-image is stronger than actual self-image with determining our emotions. Would you be able to survive an entire day, week or month without looking into a mirror?

Ready or not: The MDS is changing again!

Ready or not: The MDS is changing again!

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On Oct. 1, the Centers for Medicare & Medicaid Services will be updating the Minimum Data Set with another round of changes. Most are minor but there will be two changes to the therapy section. Your case-mix utilization and scheduling, will determine the degree of impact of these new changes.

What is therapy?  It's not as simple as it might seem

What is therapy? It's not as simple as it might seem

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"What is therapy?" sounds like a simple question, but it requires a separate and very complex answer for each discipline.

50 shades of G-coding

50 shades of G-coding

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Sorry, ladies, I didn't mean to get your hopes up with that title. But does anyone else feel like there is a lot of ambiguity to the new G-Coding system? Well, it's a little too early to tell for sure, but I can already see how the new G-codes will be riddled with red flags in the next few months.

Reviewing the top 10 errors in rehab documentation

Reviewing the top 10 errors in rehab documentation

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As a long-term care therapy consultant, I work on a lot of claim reviews and denials management with my clients. I've also read a lot of peer-review research articles related to this subject, and have compiled a list of common mistakes that cause denials. Here's my Top 10 list.

Therapy not complete without some 'home' work

Therapy not complete without some 'home' work

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Is it worth it? I'm referring to home visits by the therapy team, the patient, and their family. These are the clinical visits with the patient to their home for a "practice run" conducted several days or a week before their official discharge from the facility.

Therapists can co-treat? Why yes, they can!

Therapists can co-treat? Why yes, they can!

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Have you heard? Yes, it's true. We can now provide therapy co-treatment with another discipline WITHOUT splitting our treatment time. But, not so fast ...

Are you setting yourself up for success?

Are you setting yourself up for success?

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Are you properly capturing set-up time? What on Earth am I talking about? I'm talking about utilizing the regulation as outlined in the Resident Assessment Instrument, version MDS 3.0.

Is this billable time?

Is this billable time?

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The title sounds like an obvious question, but I can guarantee that the majority of therapists have under billed at some point in their career.

Increasing length-of-stay

Increasing length-of-stay

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Length-of-stay — LOS — is one of those management reports that often leaves administrators and upper management bewildered. If you increase LOS, you essentially increase your census.

LTC groups urge Congress to pass a therapy cap extension

LTC groups urge Congress to pass a therapy cap extension

Congress should extend the therapy caps exception process for medically necessary Medicare Part B outpatient therapy services, several long-term care groups said Tuesday.

Has CMS gone too far?

Has CMS gone too far?

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Previously, I've explained my position on the new rehab regulation changes to take effect on Saturday (Oct. 1). However, has CMS gone too far this time?

How old is too old?

How old is too old?

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"They don't need rehab, they're too old!" How many times have we heard or even asked this question? Did you know that Regis Philbin turned 80 on August 25? The Dancing with the Stars cast has included Cloris Leachman, age 85, Florence Henderson, age 77, and Buzz Aldrin, age 81. Celebrities are the easiest to spotlight, but many of us have relatives, friends, and neighbors that exceed the norm.

Top therapy reimbursement for everyone: here's how

Top therapy reimbursement for everyone: here's how

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If the Ultra High is the highest level of allowable treatment we may seek, it's our professional obligation to clinically provide these levels of service to every patient.

Snowstorm in capital sidelines discussions on therapy caps, Medicare physician pay cut

Snowstorm in capital sidelines discussions on therapy caps, Medicare physician pay cut

A snowstorm that pummeled the East Coast this week has delayed the Senate's consideration of a jobs bill that would extend the Medicare Part B therapy caps exceptions process and prevent a pay cut for Medicare physicians, according to reports from Washington.

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