Contract therapy vs. management agreement: Who gets the win?
By
Melissa Brown
Nov 15, 2021
SNF providers are reconsidering everything after PDPM and COVID-19. These two tremendous catalysts have turned skilled nursing upside down in many communities, and have left providers wondering which route...
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...
Spring refresh: Top of license practice
By
Renee Kinder
Mar 28, 2024
As the warmth of spring unfolds, it brings with it a renewal of energy and vitality. Spring symbolizes growth, rejuvenation and transformation. Growing in my backyard, in the midst of pebbles, three beautiful...
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...
Medicare Part A Length of Stay: Part III
By
Kris Mastrangelo
Mar 05, 2012
More providers need how to use an interdisciplinary team approach to be more effective when managing transitions from the nursing home environment to a community living setting.
Therapy should be more than productivity
By
Jean Wendland Porter
Apr 22, 2024
“I’m too sick for therapy today.” “Come back later.” “Leave me alone.” If you’ve worked in long-term care (or hospitals or LTACHs or acute rehab hospitals), you’ve heard...
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...
CMS did more than ‘just’ cut Medicare pay by 11.1%
By
Shelly Mesure, MS, OTR/L
Aug 19, 2011
Have you started your COT trending analysis? On Aug. 8, the Centers for Medicare & Medicaid Services released the final ruling and commentary for the new implementation of the MDS changes set to take effect...