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.
Phone therapy relieves seniors’ insomnia and pain, Kaiser study finds
By
Alicia Lasek
Feb 25, 2021
At 12 months, fully 56% of participants who received phone-delivered cognitive behavioral therapy were still in remission from insomnia, compared with 26% of the control group.
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...
Upon further review
By
Kimberly Marselas
Feb 02, 2013
Instead of spending more time doing hands-on patient care, therapists who work with Medicare beneficiaries have been strapped with increased administrative tasks, sometimes leading to delayed services,...
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...
Ask The Payment Expert
By
Patricia Boyer
Jan 15, 2008
If we have a resident with a medical RUGs and therapy wants to pick up that resident, do we have to complete an OMRA assessment?
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...
Home (safety) for the holidays
By
Shelly Mesure, MS, OTR/L
Dec 21, 2012
It’s hard to believe the holidays are already here. As I have frantically baked cookies, mailed holiday cards and waited in long lines for the perfect gift, I couldn’t help but people-watch....