Report: Nursing home therapy reimbursement under review as reform law toughens up
Mar 30, 2010
Healthcare analysts at the Department of Health and Human Services are re-evaluating Medicare’s “ultra-high” billing category for therapy services in skilled nursing facilities as a potential...
Baucus’s healthcare plan would direct funds away from nursing homes
Nov 13, 2008
Sen. Max Baucus (D-MT) on Wednesday unveiled his plan for universal healthcare coverage. The plan emphasizes restructuring long-term care.
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?
Therapy with a twist (of lemon)
By
Tim Mullaney
Oct 01, 2013
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...
Regaining an appreciation of prevention
By
Tara Roberts
Feb 05, 2015
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...
Effectively screen those residents
By
Shelly Mesure, MS, OTR/L
Feb 09, 2012
It’s not much of a surprise that many therapists are excellent at everything in their job — except screening.
CMS did more than ‘just’ cut Medicare pay by 11.1%
By
Shelly Mesure, MS, OTR/L
Aug 19, 2011
Have you started your COT trending analysis? On Aug. 8, the Centers for Medicare & Medicaid Services released the final ruling and commentary for the new implementation of the MDS changes set to take effect...
Ask The Payment Expert
By
Patricia Boyer
Jan 15, 2008
If we have a resident with a medical RUGs and therapy wants to pick up that resident, do we have to complete an OMRA assessment?
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...
Pay for performance, medical necessity and Jimmo
By
Shelly Mesure, MS, OTR/L
Jun 04, 2014
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...