How many of you will agree with me that we never fully turn off the internal therapist mode when we're in public, outside of work hours?
Well, it's that time of year already. Hectic schedules, extra weekend shifts and holiday planning. It's also time for rehab to spend some extra time discussing holiday plans with their patients. Whether it's a short family trip home on the holiday or out to eat at a favorite restaurant, added stress and poor safety judgment can lead to a slew of new and bigger problems.
On Jan. 24 of this year, the Jimmo vs. Sebelius class action lawsuit was settled. This was a significant win for us, the healthcare providers. As we continue to work out the details, I feel now is a good time for a reminder of the ins and outs the lawsuit. No doubt about it, it was a blockbuster decision.
Can anyone guess what the title to this blog is stating? In the current culture of text messaging and abbreviations for everything, it can be a danger zone for medical documentation. Unfortunately, I have not made up this one.
Well, Oct. 1 has passed, and we're all still hanging in. The biggest changes we saw to rehab were the addition of reporting co-treatment minutes on our billing logs and Section O on the MDS. And, the new question of "how many DISTINCT calendar days" were received between SLP, OT, and PT.
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.
Have you received your provider-specific PEPPER report yet? The Program for Evaluating Payment Patterns Electronic Report (PEPPER) were mailed on August 30 and have been slowly arriving at skilled nursing facilities throughout the country.
With all the recent regulatory changes that have come down the line, or are about to, we developed a simple five-question survey that each provider had to ask every therapy employee. If you can develop strong policies and procedures based on these questions, you will have a good offensive game plan in place.
"What is therapy?" sounds like a simple question, but it requires a separate and very complex answer for each discipline.
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.
Rehab Realities is written by Shelly Mesure, MS, OTR/L. She is the senior vice president of Orchestrall Rehab Solutions and owner of A Mesured Solution Inc., a rehabilitation management consultancy with clients nationwide.