While some long-term care providers have been slower to look at QAPI processes, others are ready to implement. Therapy vendors also should be considering adopting and operationalizing QAPI.
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...
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.
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...
Payment reform: Ready! Set! Don’t go! No, I mean go!
By
Steven Littlehale
Apr 23, 2018
Perhaps you think that the new therapy-payment bombshell (RCS-1) has turned out to be a dud. I hope to make the point that it was not.
Regaining an appreciation of prevention
By
Tara Roberts
Feb 05, 2015
Healthcare is mandated to reduce spending. The problem is that the Centers for Medicare & Medicaid Services and others are so blinded by the “reduce spending” element that we have lost our...
The Jimmo scorecard and CMS compliance update
By
Steven Littlehale
Nov 25, 2014
In some ways, 2014 has been a monumental year. But it’s not over yet, especially with regard to Centers for Medicare & Medicaid Services steps regarding the historic Jimmo settlement agreement signed...
Therapy is more than revenue and service
By
Kristy Wikum
May 22, 2013
How do skilled nursing facilities, clinics and hospitals think about therapy? Focusing on patient satisfaction and revenue is a good start, but it is not enough. As therapy continues to be scrutinized...
Cracking new PT and OT evaluation codes
By
Renee Kinder
Nov 17, 2016
January 1 will put new evaluation codes for physical and occupational therapy into effect and we all better be paying close attention.
Sacred moments in the therapy gym
By
Gary Tetz
Jun 14, 2018
I haven’t perched in a tree waiting for Bigfoot, or spent a morning with binoculars in a rowboat on Loch Ness. But I recently had a ringside seat for one of those elusive rehab therapy triumphs —...