In some ways, 2014 has been a monumental year. But it's not over yet, especially with regard to Centers for Medicare & Medicaid Services steps regarding the historic Jimmo settlement agreement signed on Jan. 24, 2013.
While some long-term care providers have been slower to look at QAPI processes, others are ready to implement. Therapy vendors also should be considering adopting and operationalizing QAPI.
Many of our therapy patients are medically complex and we, unfortunately, are not able to predict the future, as it sometimes seems that regulators want us to do.
A legal settlement involving two long-term care companies accused of not sufficiently controlling their contracted therapy provider's billing practices has created anxieties among skilled nursing operators.
Complicated grief is an under-recognized problem in the elderly, but a specific treatment can help, a new study says.
Adam Morris is the new vice president of business development at Evergreen Rehabilitation in Louisville, KY.
A Maryland nursing home company has agreed to a $1.3 million settlement over charges that it did not prevent overbilling by its contracted therapy provider, federal authorities announced Monday. This is the second such settlement this month involving therapy company RehabCare Group East Inc.
There is an option in Facebook to mark your relationship status as, "It's complicated." This is a great way to sum up everything, without getting too personal. Even though posting your relationship status on Facebook is personal. It's also great way to characterize long-term care therapy.
CMS issues memo on therapy coding changes ... Home care workers join strikes for a higher minimum wage ... National Assisted Living Week kicks off
We sometimes use high-minded phrases to describe our work and our hopes for our patients. But have we lost our connection to important words? Do they still hold meaning they once did, and if so, how strongly?
The elderly are very vulnerable to dehydration and more than just the nursing staff have to be concerned about it. Not keeping an eye on appropriate hydration can cause a variety of serious problems.
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.
Better way to determine proper post-acute therapy duration and intensity discovered, researchers sayJune 02, 2014
Academic researchers say they have devised a more accurate way to determine "optimal" levels of therapy for post-acute patients. The method also can better judge therapy intensity, investigators at the Washington University School of Medicine said.
Providers aren't just being accused of coding therapy patients in higher payment categories than ever before. The charge is being backed by hard numbers in a recent memorandum from the Centers for Medicare & Medicaid Services.
What significant changes in Medicare occurred for us in 2014?
When a patient is referred to therapy, and they are receiving hospice care, then therapy needs to seek permission from the hospice company to provide any treatment. Hospice is required to reimburse the facility for the therapy services since the treatment also is included in the bundled payment rate from Medicare Part A. And, therein lies the rub.
How do you define tolerance? Is tolerance measurable? Is tolerance too subjective? What about activity tolerance? We love to document how patients are improving activity tolerance, but many times that's all we state in our documentation. So what have we said? Very little.
Rehabilitation professionals still are navigating challenges of providing group, concurrent therapies in a world that has come to value individual therapy more
Charges from whistleblowers have led to a $48 million settlement between operator The Ensign Group and the U.S. Department of Justice. The settlement was one of the largest of its kind, according to U.S. Attorney André Birotte Jr.
What's the point of all of our treatment interventions and plans of care if we can't relate to our patients? If you can put a face and personality behind your justification for therapy services, you'll be way ahead of the game.
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.
Finding out therapy dogs slow down dementia symptoms is like discovering water quenches thirst, or shoes reduce firewalker foot pain. Of course they do. As my dogs like to say, "Grrrrr," followed by "Duh!"
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.
Rehabilitation professionals have been presented with significant new challenges since new functional G-code requirements became effective July 1. Those who use them wrong could lose big. Various experts describe here how to best deal with them and win.
As you read this, you might be eyeing the new RAI manual that takes effect today, and are feeling a bit overwhelmed at the sheer number of new pages. So it's with great regret that I have to add yet another burden, and let you know that it looks like a whole new therapy discipline will need to be provided at long-term care facilities around the country.
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.
The Centers for Medicare & Medicaid Services has released a memorandum clarifying transition policies for new Minimum Data Set items related to swallowing and nutritional status, as well as therapy.
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.
Many stroke survivors have undiagnosed attention-related disorders that could be treated with therapy, according to newly published research.
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.