The physiatrist’s role in post-acute rehabilitation
By
Steve M. Gnatz, M.D.
Dec 09, 2015
In the IRF environment, it is mandated by federal regulation that the rehabilitation physician performs several key functions. It is not specified that this doctor necessarily be a physiatrist, but only...
The future of restorative
By
Jean Wendland Porter
Jun 11, 2019
For those who are considering how to manage therapy in four months when they’re no longer using therapy as the primary revenue-producer, how about utilizing the therapy staff more for training restorative?
Which matters most: Social media or Five-Star?
By
Steven Littlehale
May 27, 2022
Recently my colleague Ken Kelley, MS, OTR/L, RAC-CT, a clinical consultant/reimbursement specialist, posited something about Five-Star ratings that I hadn’t considered. He suggested that, in general,...
Against Medical Advice (AMA) discharges: A multipronged approach
By
Rebekah Bray
Apr 14, 2020
“I don’t care … I’m leaving here!” “I didn’t want to come to rehab to start with.” “The hospital/doctor told me I had to come here on my insurance company wouldn’t pay for my hospital...
Questions to ponder as herd immunity remains out of reach
By
Steven Fuller, Ph.D., DO
Feb 08, 2021
Experts estimate that herd immunity for COVID-19 will be reached when 75–85% of the U.S. population has received the COVID-19 vaccine. But long-term care — including nursing homes and assisted...
Breaking down the therapy changes
By
Jean Wendland Porter
Nov 08, 2021
Proposed rules almost always become final rules. On November 2, 2021, the Centers for Medicare & Medicaid Services (after threatening for four years) finalized the 15% payment reduction for outpatient...
Back to business as unusual
By
Jean Wendland Porter
May 30, 2023
On May 11, 2023, the Public Health Emergency ended in the United States. Obviously, the whole world is celebrating the diminished COVID-19 numbers and the drop in COVID-related deaths. But we’ve been...
Moon landings and the MDS. What gives?
By
Joel VanEaton
Mar 19, 2024
You may be aware that on Feb. 22, Houston-based Intuitive Machines landed a spacecraft on the moon, making history as the first commercial craft to reach the lunar surface and the first U.S. spacecraft...
Sorting out the antipsychotic quality measures
By
Steven Littlehale
Mar 05, 2013
While antipsychotic measurements can vary, providers must carefully and thoroughly examine all antipsychotic medication use in their facility.
Let’s talk about sex
By
Robin Dessel
Aug 07, 2013
Sexual expression should be sanctioned and rightly belongs in residential healthcare settings. Sexual rights should not be subject to change based upon age, place of residence, sexual preference or the...