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...
The G-codes are here for payment claims — ready or not
By
Shelly Mesure, MS, OTR/L
May 23, 2013
Effective July 1, the Centers for Medicare & Medicaid Services will begin rejecting claims received for Medicare Part B patients that do not include the new requirement of G-coding. That really means providers...
Another reason why clinicians shouldn’t underestimate housekeeping staff
By
Shelly Mesure, MS, OTR/L
Mar 07, 2013
Each time I visited a restroom during a routine site visit, I noticed a very pretty toilet-paper flower there. It was made of toilet paper and folded into a flower, including the stem. It was then sitting...
The resident’s ‘right to refuse’
By
Shelly Mesure, MS, OTR/L
Aug 28, 2012
Therapy services can be a tricky business when working with residents with a history of “behavioral issues.”
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.
Are computers overtaking the therapy department?
By
Shelly Mesure, MS, OTR/L
Oct 18, 2012
Are we being replaced by computers? Most likely the answer is no, but … computers have made our jobs more efficient, right? Right?
Entitlement or over utilization?
By
Shelly Mesure, MS, OTR/L
Oct 07, 2014
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.
Defining tolerance in therapy
By
Shelly Mesure, MS, OTR/L
Feb 12, 2014
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...
Personal stories every therapist should know
By
Shelly Mesure, MS, OTR/L
Dec 17, 2013
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,...
Jimmo and the future of rehab
By
Shelly Mesure, MS, OTR/L
Nov 07, 2013
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...