Therapy

Payment reform: Ready! Set! Don't go! No, I mean go!

Payment reform: Ready! Set! Don't go! No, I mean go!

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Perhaps you think that the new therapy-payment bombshell (RCS-1) has turned out to be a dud. I hope to make the point that it was not.

Therapy plans shouldn't be written in stone

Therapy plans shouldn't be written in stone

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What is your preferred writing tool? Pen? Pencil? Do you take notes in color? Use highlighters? I'm sure I'm not the only one judging you by this.

Daring to dream with her team: Resident completes mother-son dance with help from nursing home staff

Daring to dream with her team: Resident completes mother-son dance with help from nursing home staff

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It's not unusual for nursing home staff to help a resident walk again. But when that resident has a rare neurodegenerative disease and wants badly not to just walk but to dance at her son's wedding, that's a goal requiring true teamwork.

Hurts all over: pain in dementia

Hurts all over: pain in dementia

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"Mommy, I hurt all over." Day 2 of the stomach virus last week and my sweet Isaac was seeing no relief. Day 3 of the stomach virus and Isaac realized how much he missed school.

Just the facts? No way. Managing agitation and behaviors in dementia

Just the facts? No way. Managing agitation and behaviors in dementia

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We need to better understand our dementia residents and learn how to enter their world to make them comfortable, maintain their dignity and improve the quality of their lives.

Whose story does your therapy documentation tell?

Whose story does your therapy documentation tell?

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Therapy documentation should tell a story.

Beware frog holes and 'I don't knows'

Beware frog holes and 'I don't knows'

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Is there anything more thrilling on a winter day than sledding down the neighborhood's steepest hill, across freshly fallen snow, in an inner tube? I think not.

Treat yourself to a person-directed 2018

Treat yourself to a person-directed 2018

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In case it hasn't registered yet, the cultural shift from provider-directed care to person-directed care has carried over effectively into the updated state survey processes being implemented secondary to the Phase 2 Requirements of Participation.

Long-term care operators, meet Jan Brady

Long-term care operators, meet Jan Brady

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Middle daughters around the world still relate to the fictional Jan Brady's exasperation with her TV big sister — "Marcia! Marcia! Marcia!" So too should long-term care operators. But instead of being jealous of an older sibling, this field's indignation might be better directed at nearby hospitals.

Standing tall for veterans

Standing tall for veterans

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Procedural memory is a fascinating mechanism, a construct of long-term memory and is the form of memory which "we learn by doing," including singing, riding a bike — and saluting, for some.

CMS could overhaul therapy pay rules in 2018

CMS could overhaul therapy pay rules in 2018

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LAS VEGAS - The Centers of Medicare & Medicaid Services' recent advanced notice of proposed rulemaking could bring a total overhaul of therapy payment rules and be in place as early as October 2018 in a "worse case scenario," an official with the American Health Care Association/National Center for Assisted Living shared at the group's annual meeting on Tuesday.

28th Annual NASL meeting around the corner

Organizers are putting the final touches on preparations for the 28th annual meeting of the National Association for the Support of Long-Term Care, which will be held Oct. 15-17 in Las Vegas. Registration is ongoing.

Rehab Week 2017: Where's the skill?

Rehab Week 2017: Where's the skill?

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Therapists across the nation had reason to celebrate their varied and respected skills last week. It was National Rehab Awareness Week after all. My, how the celebrations went down.

RCS-I: Where will your rehab patients fall?

RCS-I: Where will your rehab patients fall?

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With the shift from volume in RUGs IV to a goal of value and patient characteristics in RCS-I, rehab providers should ask themselves a number of frank questions.

A milestone for Music & Memory

A milestone for Music & Memory

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With how much positive press and research surrounding the benefit music can bring to people with dementia, it came as somewhat of a shock to me to find there had never been a nationwide study of the Music & Memory program — until now.

Have you met Jimmo's stepbrother Jimmo?

Have you met Jimmo's stepbrother Jimmo?

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Therapy utilization will be as scrutinized as much as it ever has been, even though the "improvement standard" has once again been deemed deceased.

Customer service at its finest?

Customer service at its finest?

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I've had the privilege to speak with two different medical entities today and wanted to share the experience with my readers and colleagues.

Why so blue?

Why so blue?

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I've been in a fight with my computer monitor for the past couple of days. The screen was crisp and bright looking, but after a few hours I'd start getting a headache. I had been blaming that on a lack of coffee, until I started doing some research.

SNF Therapy Myths: Busted!

SNF Therapy Myths: Busted!

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There are many myths surrounding rehab services in skilled nursing facilities. They often come from a lack of understanding of skilled care and a need to increase knowledge of Medicare regulations. I'll bet we have all encountered at least some of these.

Cracking new PT and OT evaluation codes

Cracking new PT and OT evaluation codes

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January 1 will put new evaluation codes for physical and occupational therapy into effect and we all better be paying close attention.

Staring into the abyss when the abyss won't make eye contact

Staring into the abyss when the abyss won't make eye contact

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In this world of RACs, ADRs, denials and incentivized payback demands, it behooves us as providers to stare back at The Abyss and defy the illogical and irrational edicts of "PLOF" as the determining factor for payment.

When your inpatient is an outpatient

When your inpatient is an outpatient

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Working in the SNF environment as long as I have (don't ask) I have encountered lots of myths, rumors, fables and tales about how therapy should operate in our very limited community.

It's time for 'the talk' about healthcare fraud

It's time for 'the talk' about healthcare fraud

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Some necessary conversations tend to be awkward and uncomfortable. They include talking to our children about baby making. Or convincing our parents to give up the car keys. Or talking to government investigators about those astronomical therapy billings.

Are your Ultra High RUGs putting you at risk?

Are your Ultra High RUGs putting you at risk?

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The 2016 Office of Inspector General work plan calls for increased scrutiny of the Ultra High therapy billing category because the amount of this therapy delivered has increased over time, despite resident characteristics not having changed. This work plan is a reminder that providers need to have all of their processes in order.

SNF therapy billing controversy rises from the dead

SNF therapy billing controversy rises from the dead

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Despite my love of Halloween, there is one component of it that is distinctly not for me: Horror movies. Still, I'm enough of a pop culture enthusiast that I can appreciate those with an appetite for scary movies and their sequels. If you want to watch the 10 "Halloween" movies or six versions of "Paranormal Activity," I'm not going to judge you. (Much.)

Nursing homes and loopholes, a love story

Nursing homes and loopholes, a love story

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You can bet that nursing home-hired actuaries, lawyers, consultants and other assorted bean counters are going over new rules with a fine-tooth comb. They are looking for the next generation of potential revenue streams — and any loopholes to them. If they exist, they will be found, and implemented.

Regaining an appreciation of prevention

Regaining an appreciation of prevention

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Healthcare is mandated to reduce spending. The problem is that the Centers for Medicare & Medicaid Services and others are so blinded by the "reduce spending" element that we have lost our ability to appreciate prevention.

Aquatics program are worth a deep dive

Aquatics program are worth a deep dive

We made the decision to invest in a robust aquatics program. Many of our facilities offer therapy pools with integrated underwater treadmills and resistance jets.

Learning about doll therapy

Learning about doll therapy

Many long-term facilities are turning to doll therapy to help their residents. Some therapists use the term "Nurture Therapy," as they feel it is more appropriate when dealing with adult patients compared to children.

Good staff and quality equipment increase outcomes

Good staff and quality equipment increase outcomes

At Presbyterian Village North in Dallas, TX, we offer services in assisted living, skilled nursing, certified Alzheimer and dementia care, hospice and palliative care, and inpatient and outpatient rehab. As a not-for-profit organization, we offer Five Star-rated continuing care in the Dallas Metroplex to individuals of all faiths. As a company, we're focused on delivering care in the right way — concentrating our efforts on what's important to each individual with whom we come in contact.