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...
Understanding social determinants of health and rehab
By
Renee Kinder
Jun 23, 2022
Social determinants of health, understanding what they are, their impact on patient care, and their influence on effective transitions across care settings are all essential for rehab providers. This area...
Therapists, take note! Proposed changes to ICD-10 mapping
By
Renee Kinder
May 12, 2022
The buzz around the proposed rule for fiscal 2023 continues as providers aim to review, digest and comment on proposed updates to the SNF payment rates, wage index adjustments, methodology for recalibrating...
Prior authorization guidance for the rehab provider
By
Renee Kinder
Mar 30, 2023
As a rehab professional, is there anything more miserable than the gathering of stacks of documents and searching for records needed for pre-authorization? Awful scans, missing documents, and most importantly...
Reviewing the top 10 errors in rehab documentation
By
Shelly Mesure, MS, OTR/L
Apr 23, 2013
As a long-term care therapy consultant, I work on a lot of claim reviews and denials management with my clients. I’ve also read a lot of peer-review research articles related to this subject, and...
5 rules of the rehab screen
By
Shelly Mesure, MS, OTR/L
Feb 25, 2014
What is the purpose of a rehabilitation screen? Very simply, we attempt to identify long-term residents’ needs and possible rehab potential. Somehow, we don’t really have an industry standard...
The ABCs of documenting CPT
By
Renee Kinder
May 06, 2021
It’s that time of year again when the Current Procedural Terminology (CPT) Editorial Panel meets with the task of ensuring its codes remain up to date.
Ready, set, review!
By
Renee Kinder
May 11, 2023
We’ve all been waiting for this. We knew it was coming! What am I speaking of? The May 4, 2023, notice of Skilled Nursing Facility (SNF) 5-Claim Probe and Educate Review, of course! Since the initiation...
Loopholes to help you track Medicare Part B therapy billing
By
Shelly Mesure, MS, OTR/L
Feb 06, 2013
Every time we send our patients to the hospital for rehab-related tests, exams or services, these services are billed to Medicare Part B, and, therefore, reduce our cap allowances. Any small oversights...
Freedom, the clinical way
By
Renee Kinder
Jul 18, 2019
Freedom means a lot of different things to people. I often feel it just means getting out of typical routines and spreading out in more of a creative sense while also getting back to functional care and...