It’s not much of a surprise that many therapists are excellent at everything in their job — except screening.
Medical necessity — slippery for some
By
Shelly Mesure, MS, OTR/L
Dec 02, 2011
Medical necessity has become a common phrase in healthcare terminology, but what exactly does it mean? Unfortunately, this term has become very subjective and is the primary reason we have been denied...
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.
Caregiving full circle
By
Renee Kinder
Jul 19, 2018
The cancer was extensive and had spread fast. As a result of this and after a multitude of hospital stays, he ended up in a skilled nursing facility in a small town in Kentucky.
Having my say: Top rehab pay for all
By
Shelly Mesure, MS, OTR/L
Aug 02, 2011
Shelly Mesure, MS, OTR/L, Author, “Rehab Realities” blog, President and owner, A Mesured Solution Inc.
Top therapy reimbursement for everyone: here’s how
By
Shelly Mesure, MS, OTR/L
Jul 18, 2011
If the Ultra High is the highest level of allowable treatment we may seek, it’s our professional obligation to clinically provide these levels of service to every patient.
How old is too old?
By
Shelly Mesure, MS, OTR/L
Sep 06, 2011
“They don’t need rehab, they’re too old!” How many times have we heard or even asked this question? Did you know that Regis Philbin turned 80 on August 25? The Dancing with the...
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...
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.
Has CMS gone too far?
By
Shelly Mesure, MS, OTR/L
Sep 27, 2011
Previously, I’ve explained my position on the new rehab regulation changes to take effect on Saturday (Oct. 1). However, has CMS gone too far this time?