The Quality Assurance and Performance Improvement system from CMS is on our doorsteps. As facilities have been training and educating themselves, the new QIS (Quality Indicator Surveys) are ready to roll....
Loopholes to help you track Medicare Part B therapy billing
By
Shelly Mesure, MS, OTR/L
Feb 06, 2013
Every time we send our patients to the hospital for rehab-related tests, exams or services, these services are billed to Medicare Part B, and, therefore, reduce our cap allowances. Any small oversights...
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....
The Manual Medical Review mess
By
Shelly Mesure, MS, OTR/L
Oct 29, 2012
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...
Out with the drab: Time to add personality to healthcare equipment
By
Shelly Mesure, MS, OTR/L
May 07, 2012
A few years ago, I broke my leg. Ouch! I was stuck in a long-leg cast for 14 weeks. Luckily, no surgery was required. It was around the holidays, so I asked to have my cast done in red and green stripes.
Therapists can co-treat? Why yes, they can!
By
Shelly Mesure, MS, OTR/L
Apr 19, 2012
Have you heard? Yes, it’s true. We can now provide therapy co-treatment with another discipline WITHOUT splitting our treatment time. But, not so fast …
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.
How to profit from the new regulation changes
By
Shelly Mesure, MS, OTR/L
Jan 04, 2012
Has the Centers for Medicare & Medicaid Services underestimated us again? I hope so. On Oct. 1, 2011, CMS implemented new regulation changes that added a Change of Therapy, COT OMRA, MDS. I believe it...
How to avoid end-of-therapy pitfalls
By
Shelly Mesure, MS, OTR/L
Oct 28, 2011
You are not required to offer therapy services on weekends under new MDS 3.0 changes instituted by the Centers for Medicare & Medicaid Services. But you do have to be careful if you don’t.
Rehab and ADLs
By
Shelly Mesure, MS, OTR/L
Oct 17, 2011
Since MDS 3.0 was initiated in October 2010, facilities throughout the United States have experienced a significant increase in “A” ADL scoring ratios. By becoming aware of your facility’s...