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Shelly Mesure, MS, OTR/L

Senior Vice President

Most recent articles by Shelly Mesure, MS, OTR/L

Shelly Mesure, MS, OTR/L

Palliative possibilities: Therein lies the rub

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.

Shelly Mesure, MS, OTR/L

The power of words

“The pen is mightier than the sword” is an age-old adage that implies that the power of communication — in this case, written communication — is more powerful than a physical weapon. Do you adopt this philosophy with your medical records and rehab documentation? You should.

Shelly Mesure, MS, OTR/L

5 reasons for rehab potential

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?

Shelly Mesure, MS, OTR/L

Defining tolerance in therapy

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.

Shelly Mesure, MS, OTR/L

Top 5 ICD-10 changes for 2014

Have you started your countdown clocks yet? It looks like it’s definitely happening this year on Oct. 1, 2014. The transitions from ICD-9 to ICD-10 coding will 100% absolutely take effect for the entire healthcare system, including therapy. So what is this big change all about? Per CMS, here are a couple of key facts everyone should be preparing for.

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