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...
Happy holidays: ’tis the season for more rehab work
By
Shelly Mesure, MS, OTR/L
Dec 08, 2011
It’s that time of year again, the when our hospitals and nursing facilities start to fill up with patients suffering from new fractures, falls, pneumonia and other cardio-pulmonary diseases. However,...
5 reasons for rehab potential
By
Shelly Mesure, MS, OTR/L
Mar 11, 2014
How many clinicians (physical, occupational, and speech therapy) can honestly say that they have achieved full independence with 100% of every patient they have ever worked with? Unfortunately, I definitely...
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...
Dear, sweet stubborn grandmother!
By
Shelly Mesure, MS, OTR/L
Jul 09, 2012
I love my grandma dearly. She’s still going strong, living independently in a ranch-style house. But while her stubbornness may be the reason she lives such full and active lifestyle, it’s...
Access to healthcare is NOT just an overseas problem
By
Shelly Mesure, MS, OTR/L
Nov 19, 2012
I recently had the opportunity to speak at the China Healthcare Sourcing Summit in Hangzhou, China. It was a remarkable experience and really helped me gain a wider perspective of healthcare delivery around...
RCS-I: Where will your rehab patients fall?
By
Renee Kinder
Jul 06, 2017
With the shift from volume in RUGs IV to a goal of value and patient characteristics in RCS-I, rehab providers should ask themselves a number of frank questions.