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Inclement Weather Can Threaten SNF Revenue

February 21, 2014 0 Comments
Inclement Weather Can Threaten SNF Revenue

With all the snow and treacherous weather hitting the northern (and some southern) states, knowing the rules surrounding the unscheduled RUG assessments is key to maintaining your revenue. Most of the unscheduled assessments are self-explanatory, however the Chang of Therapy (COT) assessment can wreak havoc in your MDS department when bad weather strikes. As you […]

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Selecting A Therapy Contractor

January 27, 2014 0 Comments
Selecting A Therapy Contractor

Selecting a therapy contractor can be a time consuming and arduous process with many considerations, all of which will significantly impact your facility’s finances. Contract language and negotiation is an art in and of itself, and the nuances of what you agree to in a contract can have a significant impact in regard to your building’s […]

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Rehabilitative Therapy v. Maintenance Therapy

January 22, 2014 0 Comments
Rehabilitative Therapy v. Maintenance Therapy

Medicare has debunked the myth of the “improvement standard and Jimmo v. Sebelius Settlement Agreement has guided CMS in policy updates to the home health, skilled nursing and outpatient therapy sections of the Medicare Benefits Policy Manual.  Providers working in home health, skilled facilities and outpatient venues will now have to differentiate rehabilitative therapy v. maintenance […]

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Medicare Maintenance Therapy

January 20, 2014 4 Comments
Medicare Maintenance Therapy

Medicare Maintenance Series – Maintenance therapy has recently been clarified by CMS as a result of the JIMMO vs. Sebelius class action lawsuit and settlement.  CMS has differentiated maintenance therapy from restorative therapy and indicates in the updated Medicare Benefits Policy Manual sections that there is no expansion of therapy and nursing coverage, but rather a […]

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Medicare Improvement Standard – Jimmo Settlement

January 9, 2014 1 Comment
Medicare Improvement Standard – Jimmo Settlement

Medicare Maintenance Series – Clarifications on what has been called the “Medicare Improvement Standard” have been disseminated by CMS over the past few weeks with an emphasis on the coverage for maintenance services does not turn on the “presence or absence of potential for improvement, but on the need for skilled care as well as […]

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COT Assessment: Are You at Risk?

January 8, 2014 0 Comments
COT Assessment: Are You at Risk?

In the Skilled Nursing world, we are all far-too-familiar with one of the newest unscheduled PPS assessments:  Change of Therapy Other Medicare Required Assessment (COT OMRA); frequently called a “COT Assessment”.  This has caused many MDS coordinators and Rehab Directors more than a few sleepless nights.  Basically, for all Part A patients in a Rehab […]

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