As a manager, I used to love to promote point-of-service, or POS. As a therapist, I used to despise POS. How could I have such a love-hate relationship with POS?
Have we lost our connection to what’s important?
By
Shelly Mesure, MS, OTR/L
Aug 15, 2014
We sometimes use high-minded phrases to describe our work and our hopes for our patients. But have we lost our connection to important words? Do they still hold meaning they once did, and if so, how strongly?
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...
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...
What’s on Your PEPPER Report?
By
Shelly Mesure, MS, OTR/L
Sep 10, 2013
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...
Is this billable time?
By
Shelly Mesure, MS, OTR/L
Mar 07, 2012
The title sounds like an obvious question, but I can guarantee that the majority of therapists have under billed at some point in their career.
Point-of-service: Friend or foe?
By
Shelly Mesure, MS, OTR/L
Feb 22, 2012
As a manager, I used to love to promote point-of-service, or POS. As a therapist, I used to despise POS. How could I have such a love-hate relationship with POS?
Here’s how you can effectively schedule rehab
By
Shelly Mesure, MS, OTR/L
Nov 14, 2011
When the Centers for Medicare & Medicaid Services implemented its latest rounds of new and stricter regulations, the groan was heard throughout nursing homes across the country. But, I have good news:...