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...
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...
Feature: All together now
By
John Hall
Feb 01, 2014
Rehabilitation professionals still are navigating challenges of providing group, concurrent therapies in a world that has come to value individual therapy more
Rehab Week 2017: Where’s the skill?
By
Renee Kinder
Sep 28, 2017
Therapists across the nation had reason to celebrate their varied and respected skills last week. It was National Rehab Awareness Week after all. My, how the celebrations went down.
A good first step but more to do with MDS 3.0
By
Leah Klusch, RN, BSN, FACHCA
Mar 07, 2012
It was a long first day, but there was tremendous value and everyone who is here has learned what the Centers for Medicare & Medicaid Services’ positions are with the April updates and some of the...
OIG? OMG! One lump problem
By
Shelly Mesure, MS, OTR/L
Jan 23, 2013
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...
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?
Therapists anxious without CMS guidance on telehealth coverage post-PHE
By
James M. Berklan
May 12, 2023
Therapy groups serving long-term care and other institutional providers were left hanging Thursday as the public health emergency officially lapsed and federal regulators still had not given clarification...