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...
No more Rehab Medium RUG defaults
By
Shelly Mesure, MS, OTR/L
Oct 08, 2013
Well, Oct. 1 has passed, and we’re all still hanging in. The biggest changes we saw to rehab were the addition of reporting co-treatment minutes on our billing logs and Section O on the MDS. And,...
Long-term care and therapy: It’s complicated
Sep 09, 2014
There is an option in Facebook to mark your relationship status as, “It’s complicated.” This is a great way to sum up everything, without getting too personal. Even though posting your...
Care transitions becoming more crucial
By
James M. Berklan
Jun 17, 2011
It seems the Hebrew Rehabilitation Center in Boston ought to be getting a lot more attention from its peers. The center has successfully implemented a multi-pronged approach to lower rehospitalizations.
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...
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?
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...
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...
When LTC leaders delegate accountability
By
John O'Connor
Nov 19, 2012
What happens when delegation without accountability takes place? We saw a good example last week, when the Office of Inspector General released a damning report about excessive Medicare charges from nursing...
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...