RAC Manual Medical Review

We are well into 2013 and moving along with the manual medical review by the RACs for claims over the $3,700 threshold.  Where do you stand?  Have you received ADRs as a result of being over the $3,700 threshold?  Did

VISION AND FUNCTION

Therapists and caregivers working with the elderly in the long term care setting must assess the impact poor vision has on functional performance. Often, it is an area that is placed low on the totem pole by the interdisciplinary team

Hospital Readmissions Continue To Make News

In an effort to increase acute and post-acute care coordination and improve health outcomes, the Affordable Care Act established penalties in October 2012 for hospitals that have high readmission rates for heart attack, heart failure and pneumonia patients.  Moving forward,

Documentation–Roadmap?

I just spent eight hours traveling to beautiful Charlotte North Carolina to participate in Functional Pathways 360 CEU Symposium event!  While driving, I spent a lot of time thinking of the conversations I have had this week with therapists and

ACO’s – THE TIME TO ACT IS NOW

As healthcare providers you have seen a multitude of changes occurring over the last few years. Some of these changes last and some don’t. This tends to make one hesitate before acting to see if those changes will in fact

2014 SNF PPS Proposed Rule Posted

On May 1, 2013, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule [CMS-1446-P] outlining proposed Fiscal Year (FY) 2014 Medicare payment rates for skilled nursing facilities (SNFs). The FY2014 proposals are summarized below. Changes to payment

Treating Pain Effectively in LTC

Often in the course of our day as therapists and nursing care givers, we encounter numerous complaints of pain and discomfort from our long term residents. How do you respond? Pain is a complex sensory and emotional experience and is

What are LCDs??

Often we receive questions from the field regarding coding of therapy diagnoses and we wish we could just “add” any ICD-9 code to the computer system.  However, we have to base the selection of the codes off of the Medicare

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