The Office of the Inspector General’s recent report about what it calls $1.5 billion in inappropriate Medicare payments to skilled nursing facilities should be yet another wake-up call to providers.
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...
Reviewing the top 10 errors in rehab documentation
By
Shelly Mesure, MS, OTR/L
Apr 23, 2013
As a long-term care therapy consultant, I work on a lot of claim reviews and denials management with my clients. I’ve also read a lot of peer-review research articles related to this subject, and...
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?
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?
2022: What will the technical experts say?
By
Renee Kinder
Dec 09, 2021
The new year is upon us. What new areas of regulatory change will your teams monitor in 2022? CPT? Parity? Survey trends? Quality? Yes, obviously quality, Renee, but the future of quality… where...
With new rules, more payment denials expected
By
Shelly Mesure, MS, OTR/L
Oct 02, 2012
Here it comes again! The Oct 1, 2012, federal regulatory changes will not only impact reimbursement but new reporting requirements also will multiply denials for skilled nursing providers across the country.
Love hurts PAC relationships
By
Renee Kinder
Feb 15, 2018
When it comes to developing strategic partnerships across the post-acute care spectrum, love can cloud our judgment.
5 rules of the rehab screen
By
Shelly Mesure, MS, OTR/L
Feb 25, 2014
What is the purpose of a rehabilitation screen? Very simply, we attempt to identify long-term residents’ needs and possible rehab potential. Somehow, we don’t really have an industry standard...
Caregiver Unburdened
By
Renee Kinder
Jun 07, 2018
Being a CNA, nurse, or therapist is also a big job requiring us to make decisions daily on when to care and when to allow those we serve to demonstrate their independence with tasks.