The 2016 Office of Inspector General work plan calls for increased scrutiny of the Ultra High therapy billing category because the amount of this therapy delivered has increased over time, despite resident...
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.”
Ready or not: The MDS is changing again!
By
Shelly Mesure, MS, OTR/L
Sep 25, 2013
On Oct. 1, the Centers for Medicare & Medicaid Services will be updating the Minimum Data Set with another round of changes. Most are minor but there will be two changes to the therapy section. Your case-mix...
50 shades of G-coding
By
Shelly Mesure, MS, OTR/L
Jul 02, 2013
Sorry, ladies, I didn’t mean to get your hopes up with that title. But does anyone else feel like there is a lot of ambiguity to the new G-Coding system? Well, it’s a little too early to tell...
You’re probably guilty of too much documentation
By
Shelly Mesure, MS, OTR/L
Jun 18, 2013
Is it time for a diet? Not a food diet, but a documentation diet. I’ve written previous blogs about documentation quick tips, top 10 reasons for denials, and so on. But, how many of you are guilty...
Therapists can co-treat? Why yes, they can!
By
Shelly Mesure, MS, OTR/L
Apr 19, 2012
Have you heard? Yes, it’s true. We can now provide therapy co-treatment with another discipline WITHOUT splitting our treatment time. But, not so fast …
The Jimmo scorecard and CMS compliance update
By
Steven Littlehale
Nov 25, 2014
In some ways, 2014 has been a monumental year. But it’s not over yet, especially with regard to Centers for Medicare & Medicaid Services steps regarding the historic Jimmo settlement agreement signed...
Customer service at its finest?
By
Jean Wendland Porter
Apr 14, 2017
I’ve had the privilege to speak with two different medical entities today and wanted to share the experience with my readers and colleagues.
Ghosts of therapists past
By
Renee Kinder
Nov 08, 2018
Therapists experience the same impact when facing the ghosts of predecessors in their own therapy departments. And when considering the spirits of old habits needing to be shifted by significant changes...
Payment reform: Ready! Set! Don’t go! No, I mean go!
By
Steven Littlehale
Apr 23, 2018
Perhaps you think that the new therapy-payment bombshell (RCS-1) has turned out to be a dud. I hope to make the point that it was not.