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...
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...
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?
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...
What is therapy? It’s not as simple as it might seem
By
Shelly Mesure, MS, OTR/L
Aug 13, 2013
“What is therapy?” sounds like a simple question, but it requires a separate and very complex answer for each discipline.
Do you know your P’s and Q’s of QAPI?
By
Shelly Mesure, MS, OTR/L
Feb 21, 2013
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....
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.