Are you prepared? 5 questions you need to know the answers to
By
Shelly Mesure, MS, OTR/L
Aug 27, 2013
With all the recent regulatory changes that have come down the line, or are about to, we developed a simple five-question survey that each provider had to ask every therapy employee. If you can develop...
Dehydration: Therapy should help fight it
By
Shelly Mesure, MS, OTR/L
Jul 15, 2014
The elderly are very vulnerable to dehydration and more than just the nursing staff have to be concerned about it. Not keeping an eye on appropriate hydration can cause a variety of serious problems.
No more Rehab Medium RUG defaults
By
Shelly Mesure, MS, OTR/L
Oct 08, 2013
Well, Oct. 1 has passed, and we’re all still hanging in. The biggest changes we saw to rehab were the addition of reporting co-treatment minutes on our billing logs and Section O on the MDS. And,...
You’re probably guilty of too much documentation
By
Shelly Mesure, MS, OTR/L
Jun 18, 2013
Is it time for a diet? Not a food diet, but a documentation diet. I’ve written previous blogs about documentation quick tips, top 10 reasons for denials, and so on. But, how many of you are guilty...
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.
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...
Have we lost our connection to what’s important?
By
Shelly Mesure, MS, OTR/L
Aug 15, 2014
We sometimes use high-minded phrases to describe our work and our hopes for our patients. But have we lost our connection to important words? Do they still hold meaning they once did, and if so, how strongly?
Pay for performance, medical necessity and Jimmo
By
Shelly Mesure, MS, OTR/L
Jun 04, 2014
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...
Palliative possibilities: Therein lies the rub
By
Shelly Mesure, MS, OTR/L
Apr 22, 2014
When a patient is referred to therapy, and they are receiving hospice care, then therapy needs to seek permission from the hospice company to provide any treatment. Hospice is required to reimburse the...