Skilled services 101: Understanding the medical appropriateness exception
By
Renee Kinder
Oct 07, 2021
In our industry, we have all read it numerous times. Some of us can quote portions of it in our sleep… three consecutive calendar days, for a condition that was treated during the qualifying hospital...
Four tips on making smarter purchasing decisions
By
Rich McKeon
Oct 31, 2014
Rising drug costs and declining reimbursements significantly impact profits, and long-term care pharmacies today have to do more with less.
June 3 Super Tuesday webinar: why you need to pay attention to PEPPER reports
May 22, 2014
Providers will learn how the government’s PEPPER reports are connected to their facilities’ health during a June 3 McKnight’s Super Tuesday webcast. Featured speaker Leah Klusch, the...
Palliative possibilities: Therein lies the rub
By
Shelly Mesure, MS, OTR/L
Apr 22, 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...
Medically Complex Medicare Part B
By
Shelly Mesure, MS, OTR/L
May 08, 2013
While CMS tries to figure out how to proceed with the manual medical review process, we continue to track our caps and apply our modifiers. In the meantime, has anyone noticed how our typical Medicare...
Fiscal molehill for rehab providers
By
Shelly Mesure, MS, OTR/L
Jan 02, 2013
Well, we didn’t completely go off the “fiscal cliff,” but we’re definitely heading for a downward slope.
Better managing the Medicare Part A stay
By
Kris Mastrangelo, OTR, MBA, LNHA
Feb 21, 2012
Discharge planning is the key element in managing Medicare Part A length of stay. A home assessment can significantly affect the process.
Managing the clinically anticipated Medicare Part A length of stay
By
Kris Mastrangelo, OTR, MBA, LNHA
Jan 26, 2012
The Medicare adjustments of fiscal year 2012 have left the long-term care profession discussing and debating care strategies to ensure success and mitigate the reductions in reimbursement. A key indicator...
Extension of therapy caps exceptions process hinges on healthcare reform passage
By
Liza Berger
Jan 08, 2010
Whether or not you are a fan of healthcare reform, here’s one reason Congress should pass it: It would extend the therapy caps exceptions process.