Extension of therapy caps exceptions process hinges on healthcare reform passage
By
Liza Berger
Jan 08, 2010
Whether or not you are a fan of healthcare reform, here’s one reason Congress should pass it: It would extend the therapy caps exceptions process.
Need grows for therapy caps resolution
By
Liza Berger
Feb 05, 2010
My how things change. Just a month ago a healthcare reform bill seemed en route to passage. Now its very existence is in question and, by extension, some key long-term care services are too.
What administrators need to know about therapy metrics
By
Stacy Darling, MBA, MPT, AT, RAC-CT
Aug 08, 2014
Administrators have multiple departments to oversee, so it is important that they have a method to determine if their therapy department is running efficiently, meeting its goals and adding to the strategic...
Are standardized assessment tools our future?
By
Shelly Mesure, MS, OTR/L
May 20, 2014
With therapy documentation being put under the microscope more than ever, you would be wise to make sure standardized assessment tools are at your fingertips. Unbiased views of data and outcomes information...
The G-codes are here for payment claims — ready or not
By
Shelly Mesure, MS, OTR/L
May 23, 2013
Effective July 1, the Centers for Medicare & Medicaid Services will begin rejecting claims received for Medicare Part B patients that do not include the new requirement of G-coding. That really means providers...
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...
‘Tis nursing home conference season
By
Liza Berger
Oct 22, 2010
It’s hard to believe we’re in the midst of another conference season. The American Health Care Association’s annual meeting already has passed and the American Association of Homes and...
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...