Blog

Managing the care of the patient on a daily basis is very challenging in the SNF. Medicare Part A patients who tend to be somewhat more medically complex and sicker than some of the other patients ...

Surely you have heard that there are “denials” now in the skilled care world, but do you know what this means? There are more and more auditing agencies popping up every day, from ACO to ZPIC, and ...

Successful case management for Case Mix involves the coding of the accurate minutes of care provided by therapy on the MDS for those patients seen under Medicare Part B. There is a significant ...

Today we will be discussing the Medicare meeting, otherwise known as the beneficiary review meeting. This meeting is set up so that the interdisciplinary team can discuss the clinical status of a ...

In the Final Rule FY2012, CMS provided clarification on therapy documentation and expectations in regards to changes in therapy treatment plans. Harmony recommends facilities are vigilant when ...

Effective October 1st, a COT OMRA will be required for patients classified into a RUG-IV therapy category whenever the intensity of therapy changes to such a degree it no longer reflects the RUG-IV ...

The Resident Assessment Instrument (RAI) User's Manual has been updated to reflect changes that take effect on October 1, 2011, the manual version is 1.07 (V1.07). Providers should take extra care to ...

Beneficiary Notification Initiative: The information regarding the use of an ABN is according to sections 50.3 - ABN Scope and 50.5 - ABN Triggering Events - from Chapter 30 of the Medicare Claims ...

Per the Centers for Medicare & Medicaid Services (CMS) announcement, aggressive new steps to find and prevent waste, fraud and abuse in Medicare are underway. CMS states they are working closer ...

Medicare Presumption of Coverage: Under SNF PPS, beneficiaries who are admitted or readmitted directly to an SNF after a qualifying hospital stay are considered to meet the level of care requirements ...

ICD 9 CODING Q: Where can I find a list of commonly used PT ICD-9 codes that have been deleted as of January 1? A: ICD 9 code changes take effect October 1 of each year. CMS publishes these changes ...

Impact Rehabilitation Services Impact Medicaid Case Mix: Rehabilitation Therapists are integral members of the interdisciplinary team as is their participation in the process of resident assessment. ...

The first thing to do when starting your Medicare Part B Therapy Program Development is making sure your team is properly therapy screening. Therapy screening is essential in identifying patients for ...

Additional Development Requests When a Medicare contractor (MAC) cannot make a coverage or coding determination from the information that has been provided on a claim and its attachments, then the ...