MEDICARE PART B THERAPY

Life is about change, right?  Well we certainly have been seeing change again with part B therapy. Therapy Cap and Manual Medical Review:  The exceptions process was extended through December 31st of this year which also extends the manual medical

BECOMING AN ATTRACTIVE ACO PARTNER

Are Accountable Care Organizations going to become a driving force in the American healthcare scene? The jury is still out on that question but there are some signs that would lead one to believe that they just might.  To begin

I’ll Take A Bowl Of That Alphabet Soup Please!

The evolution of quality improvement philosophies in health care includes such models as MBO, Theory X, Theory Y, QA, QA&A, TQM, CQI, PI and the newest philosophy—QAPI.  Under the Affordable Care Act, Medicare and Medicaid certified nursing homes are required

ACHIEVING CLINICAL EXCELLENCE

In a time of change……………maintaining our ability as therapy  providers to ensure adequate  patient care can be a challenge.  As Physical, Occupational and Speech Language Pathologists our focus is on restoring function and improving quality of life. As reimbursement requirements

Functional Reporting and Manual Medical Review

I hope you have a wonderful holiday season! It’s a new year and Medicare Part B therapy changes continue.  As you are aware, Functional Reporting went into effect January 1, 2013 with a testing period through June 30th.  Claims submitted July

American Taxpayer Relief Act: Therapy Impact

President Obama has signed into legislation the American Taxpayer Relief Act and I want to share with you the relevant therapy provisions: No 2% sequester cut to Medicare providers The SGR fix is extended through December 31, 2013 The legislation does not preclude

COMMUNICATE – STAYING IN TOUCH AFTER DISCHARGE

For the last two months the theme has been communication. I have attempted to break down this all important topic into different phases. The first was the Initial Phase where communication early and often was stressed. The second phase discussed

OIG 2013 Work Plan: Nursing Home Areas Of Focus

While we all anxiously await the coming of a new year and what actions Congress will take related to impact on Medicare, Nursing Homes and Therapy Services, there is one thing we can prepare for now.  Each year the U.S.

RESTORATIVE NURSING AND QUALITY OF LIFE

Restorative Nursing programs are vital to long term care. These traditional nursing home programs, if not well managed and organized may leave long term care residents with an overall poorer quality of life lower and declines in function that impact

Preparing for Medicare Implementation

As you may be aware, there will be new reporting requirements for outpatient therapy services beginning 1/1/13. The Middle Class Tax Relief and Jobs Creating Act of 2012 section 3005(g) amended section 1833(g) of the Social Security Act to require