What a mess — and that’s probably an understatement! Medicare Part B decided to roll out its new manual medical review process by dividing providers into three phases. If you are unfortunate to...
Increasing length-of-stay
By
Shelly Mesure, MS, OTR/L
Jan 30, 2012
Length-of-stay — LOS — is one of those management reports that often leaves administrators and upper management bewildered. If you increase LOS, you essentially increase your census.
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.”
Access to healthcare is NOT just an overseas problem
By
Shelly Mesure, MS, OTR/L
Nov 19, 2012
I recently had the opportunity to speak at the China Healthcare Sourcing Summit in Hangzhou, China. It was a remarkable experience and really helped me gain a wider perspective of healthcare delivery around...
‘The therapy caps are back!!!’
By
Shelly Mesure, MS, OTR/L
Apr 05, 2012
Are the therapy caps back? Well, sort of. Here’s a quick summary of the current regulations that were recently passed and how they affect you.
Effectively screen those residents
By
Shelly Mesure, MS, OTR/L
Feb 09, 2012
It’s not much of a surprise that many therapists are excellent at everything in their job — except screening.
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...
Big challenges ahead for therapy
By
Shelly Mesure, MS, OTR/L
Jun 12, 2012
A few years ago, my consulting company had the opportunity to work with a facility to implement a bariatric unit within a skilled nursing facility. This would seem an easy task, but the facility ended...
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.