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.

Prevent Readmissions by Identifying Causes of Acute Change

Causes of acute change of condition in a resident residing in a skilled nursing facility can be categorized into either reasons that relate primarily to the resident’s current status or condition or reasons less directly related to the resident’s current

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

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

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

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

Prevent Hospital Readmissions by Educating Caregiving Staff

A key component in any skilled nursing facility that is working towards preventing hospital readmissions is education of the caregiving staff on their roles and responsibilities related to the ability to identify acute changes in resident’s conditions.   Before the education

Leading Age Annual Convention

Leading Age Annual Convention Denver, Colorado October 21st-24th, 2012 JOIN US October 22nd, 2012 at 3:30PM Ensuring Therapy Compliance Presented By: Sheila Capitosti Vice President of Clinical & Compliance Services Functional Pathways Candace McMullen Senior Vice President of Operations/Chief Operating

AHCA 63rd Annual Convention & Expo

AHCA 63rd Annual Convention & Expo Tampa, Florida October 7th-10th, 2012 JOIN US October 8th, 2012 at 7:30AM  Strategies for Documenting Medical Necessity Presented By: Sheila Capitosti Vice President of Clinical & Compliance Services Functional Pathways Candace McMullen Senior Vice

Regulations For Verbal Orders and Authentication of Orders

The Medicare Benefit Policy Manual Chapter 16, Section 220 Refers to Coverage of Outpatient Rehabilitation Therapy Services (Physical Therapy, Occupational Therapy, and Speech-Language Pathology Services) Under Medical Insurance. In addition to the requirements described in this chapter, the services must

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