Rehab

Pay for performance, medical necessity and Jimmo

Pay for performance, medical necessity and Jimmo

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Why would anyone mention value-based reimbursement, medical necessity and the Jimmo lawsuit in the same sentence? I feel they are all related, but it will be difficult to find the perfect balancing act to maximize the benefits of each topic.

Design Decisions: A rehab project indeed

Design Decisions: A rehab project indeed

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Saber does not rattle its short-term residents because it gives them what they want: amenities, privacy and more living options

Pain: An LTC rehab perspective

Pain: An LTC rehab perspective

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LTC therapists seem to be stuck between a rock and a hard place when it comes to patient pain. Pain management is at the forefront of surveyors and scrutinized as a CMS quality measure.

5 reasons for rehab potential

5 reasons for rehab potential

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How many clinicians (physical, occupational, and speech therapy) can honestly say that they have achieved full independence with 100% of every patient they have ever worked with? Unfortunately, I definitely cannot make that claim myself. But is that always the intention anyway?

CMS not saying much about a payment deal that could be a game changer

CMS not saying much about a payment deal that could be a game changer

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In recent years, many skilled care operators have nervously watched the Centers for Medicare & Medicaid Services reduce and sometimes eliminate payments for physical, occupational and speech therapy services. But thanks to a recent class-action lawsuit settlement, the funding pendulum might be about to change direction. As a result, the skilled care sector could be in for a massive funding windfall.

Trends in rehab: What's around the corner

Trends in rehab: What's around the corner

From assessing where we are and where we came from to continual education and industry monitoring, rehab is a force unto itself. We need to examine the top trends in rehab services.

Joint Commission replaces Long Term Care Accreditation program

The Joint Commission recently unveiled a Nursing and Rehabilitation Center Accreditation program. The program — which replaces its Long Term Care Accreditation program — is designed to help providers achieve, maintain and demonstrate excellence.

Fiscal molehill for rehab providers

Fiscal molehill for rehab providers

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Well, we didn't completely go off the "fiscal cliff," but we're definitely heading for a downward slope.

Access to healthcare is NOT just an overseas problem

Access to healthcare is NOT just an overseas problem

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I recently had the opportunity to speak at the China Healthcare Sourcing Summit in Hangzhou, China. It was a remarkable experience and really helped me gain a wider perspective of healthcare delivery around the world. Access to healthcare, hospitals, doctors, and especially rehabilitation services is a primary concern for the Chinese government.

Why are more RAC audits happening? There are trillions of reasons

Why are more RAC audits happening? There are trillions of reasons

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Recovery audit contractors are stepping up their efforts to review Medicare billings. This appears to be a classic case of auditors gone wild.

SNF rehab claims scrutinized more than ever, expert says

SNF rehab claims scrutinized more than ever, expert says

Nursing home administrators who can't substantiate every minute of rehab therapy delivered in their building leave themselves open to increasingly common audits and surveys, a top MDS 3.0 expert said Tuesday.

Dear, sweet stubborn grandmother!

Dear, sweet stubborn grandmother!

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I love my grandma dearly. She's still going strong, living independently in a ranch-style house. But while her stubbornness may be the reason she lives such full and active lifestyle, it's also a trait that almost cost her big-time when she had a "health scare" a few years ago.

Rehab reimbursement and audits the focus of July Super Tuesday webcast

Rehab reimbursement and audits the focus of July Super Tuesday webcast

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Nursing home administrators who can't back up every minute of rehab therapy delivered in their building leave themselves open to auditing, warns an MDS 3.0 expert during the July 10 McKnight's Super Tuesday webcast. Every skilled nursing facility billing minutes to rehab services must be able to verify that he or she has read all of the updates to the RAI Manual, as well as all of the changes that took effect April 1, adds Leah Klusch, RN, BSN, FACHA. That and much more was discussed during the free webcast, which remains available for viewing in an online archive for a year.

Therapy robots a success with recovering stroke victims, research finds

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An experimental "socially assistive" robot has been shown to get better results in elderly rehabilitation patients than human therapists, preliminary research finds.

Questionable therapy practices could put operators to the test

Questionable therapy practices could put operators to the test

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Ready to take the therapy services quiz? The good news is that it only has one question and it's multiple choice. But you don't want to fail. Ready?

Point-of-service: Friend or foe?

Point-of-service: Friend or foe?

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As a manager, I used to love to promote point-of-service, or POS. As a therapist, I used to despise POS. How could I have such a love-hate relationship with POS?

Point-of-service: Friend or foe?

Point-of-service: Friend or foe?

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As a manager, I used to love to promote point-of-service, or POS. As a therapist, I used to despise POS. How could I have such a love-hate relationship with POS?

Better managing the Medicare Part A stay

Better managing the Medicare Part A stay

Discharge planning is the key element in managing Medicare Part A length of stay. A home assessment can significantly affect the process.

Happy holidays: 'tis the season for more rehab work

Happy holidays: 'tis the season for more rehab work

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It's that time of year again, the when our hospitals and nursing facilities start to fill up with patients suffering from new fractures, falls, pneumonia and other cardio-pulmonary diseases. However, have we ever thought to provide additional therapy services to our residents (and their family members) who plan to go out for the holidays?

Medical necessity — slippery for some

Medical necessity — slippery for some

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Medical necessity has become a common phrase in healthcare terminology, but what exactly does it mean? Unfortunately, this term has become very subjective and is the primary reason we have been denied payment for services.

A new hit to therapy providers

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Another proposed rehab rule threatens to cut significant revenues from long-term care providers.

How to prepare for your next Medicare audit

How to prepare for your next Medicare audit

The federal government is looking closely at how post-acute providers, such as skilled nursing facilities, spend Medicare dollars. SNFs should know their operations and understand real outcomes before their next audit.

Therapy dogs can transfer MRSA and C. difficile among nursing home residents, researchers say

A recent Canadian study finds that methicillin resistant Staphylococcus aureus (MRSA) and C. difficile can be transferred between long-term care residents and therapy dogs, opening a new possible avenue for infection.

Baucus, Grassley propose 'bundling' of post-acute payments; nursing home groups object

Sens. Max Baucus (D-MT) and Charles Grassley (R-IA) this week released several policy ideas for revamping America's healthcare delivery system. Many of these would affect the long-term care and post-acute care fields.

Seniors urged to overcome health worries to improve mobility

Cautioning elderly people from attempting to do too much physically is actually counterproductive, researchers suggest. They say that many seniors who worry about their health or possible negative outcomes from exercising instead choose to remain inactive, therefore causing greater potential harm later in life.

Study shows simple foot exercises significantly decrease seniors' risk of falls

Seniors who perform simple ankle and foot exercises a few times per week can noticeably improve their strength and balance, according to recent research.

Bill eliminating Medicare Part B therapy caps introduced

A bipartisan group of lawmakers is drawing praise from the long-term care community for introducing a bill that would eliminate spending caps on rehabilitation services for Medicare beneficiaries.

Seniors who leave rehab with new disabilities likely to die sooner

Seniors discharged from hospital rehabilitation facilities with new activity of daily living (ADL) disabilities have a greater chance of dying within a year as those discharged without additional disabilities, according to new research from Johns Hopkins University.

Nursing home, therapy executives: Invest in information technology

Nursing home providers would be wise to pump money into information technology to create more efficient, profitable businesses, panelists asserted Tuesday at a CEO round table discussion at the annual meeting of the National Association for the Support of Long Term Care (NASL) in Nashville.

Study: More affluent ZIP codes consistently see higher rates of surgery survival among the elderly

Seniors in more impoverished areas of the country are significantly more likely to die after surgery than their wealthier neighbors, according to recent research.

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