In my previous entry I discussed breaking down communication into three phases. I wrote of the initial phase and the importance of communicating early and often. How establishing clear and open lines of dialogue were essential to establishing a good

Functional Maintenance Programs

Functional maintenance Programs (FMP’s) are clinical programs that can be designed to augment or maintain a residents functional status and wellbeing.  It includes therapy services that seek to prevent disease, promote health, and prolong and enhance quality of life or

Prevent Readmissions by Managing Acute Changes

Facility procedures for ensuring recognition of acute changes in condition become the building block for managing those changes in condition and become the cornerstone for any program designed to prevent hospital readmissions within a skilled nursing facility.   Communication of all


So, we are approaching December 1st.  Do you see light at the end of the tunnel for the Manual Medical Review?  Well, if you were in phase 1, you have been working diligently to obtain pre-approval of therapy visits for

Thank Goodness The Election Is Over!!

Regardless of whether one is happy or not about the outcome, I think we can all agree that we are all glad the election is over.    Now perhaps we can focus attention on important issues facing long term care that

Communicate-Early and Often

How many times in your life, either private or professional, do you look back and wish you had communicated better or differently? I think we all can agree that many times this would be true. If it were not important

Settlement Reached: Medicare’s “Improvement Standard”

Attorneys from the Center for Medicare Advocacy, Vermont Legal Aid and the Centers for Medicare & Medicaid Services (CMS) have agreed to settle the “Improvement Standard” case, Jimmo v. Sebelius. A proposed settlement agreement was filed in federal District Court


Phase 2 providers are approaching their debut for submitting their pre-approval requests for part B therapy residents who have met or will meet the $3700 threshold for OT and $3700 threshold for PT/ST.  You may have already submitted your pre-approval

Cardiac Recovery

Currently, more than two million Americans have heart failure and about 700 thousand new cases are diagnosed each year. The five year survival rate is approximately 50%, but varies depending on the cause of heart failure and the ability of

Part B Therapy: More Stormy Weather Ahead!

The final mandated report on “Improving Medicare’s Payment System for Outpatient Therapy Services” is due on June 15, 2013.  However, Congress has asked MedPAC to forward the recommendations in early- November so they are relevant to the discussion that will