Rehab Realities by Renee Kinder

JULY 21, 2022

But onward to post-acute care and what we see coming in the future. . Last week we as an industry saw RTI International release a report titled: CMS Report to Congress: Unified Payment for Medicare-Covered Post-Acute Care Analysis and Development of the Prototype Unified PAC Prospective Payment System Called for in the IMPACT Act.

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Healthcare Law Insights blog

OCTOBER 17, 2023

Many long-term care residents live in Missouri nursing homes for years. But occasionally circumstances may change such that it is no longer appropriate for the resident to continue to reside at the facility. 19 CSR 30-82.050(2)(A)-(F). What documentation is required before sending the notice of discharge?

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Rehab Realities by Renee Kinder

MARCH 16, 2023

Based on this, the Medicare program covers such services, and coverage cannot be denied based on the absence of potential for improvement or restoration. Based on this, the Medicare program covers such services, and coverage cannot be denied based on the absence of potential for improvement or restoration. Answer: No. Answer: No.

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Rehab Realities by Renee Kinder

DECEMBER 9, 2021

Remember when I wrote to you all in a January 2017 blog titled, “ Is your rehab partner wearing blinders? that there was likely a shift occurring in post-acute care payment reform AND the fact that there was a technical expert panel (TEP) in place providing feedback and guidance to CMS? Recommend adjustments for adoption by CMS.

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Rehab Realities by Renee Kinder

SEPTEMBER 1, 2022

On July 29, 2022, the Centers for Medicare & Medicaid Services issued a final rule that updates Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective Payment System (SNF PPS) for fiscal year (FY) 2023. . • One toileting item. • One oral hygiene item. • Two walking items.

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Rehab Realities by Renee Kinder

MAY 25, 2023

In the coalition’s statement to CMS , they also noted that per the Medicare Payment Advisory Commission, 63% of Medicare outpatient therapy services are furnished by institutional providers. While Section 4113 of the Consolidated Appropriations Act of 2023 (P.L. She can be reached at rkinder@broadriverrehab.com.

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Rehab Realities by Renee Kinder

MAY 11, 2023

The CR is an attempt to increase comprehension of correct billing practices under the PDPM by all SNF providers that bill Medicare. The key elements of this project include: All MACs that review SNF Medicare claims MACs will select 5 claims from each selected provider. in 2022, up from 7.79% in 2021.

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Long-term care Medicare Document 2019 52

Nurse.com

OCTOBER 26, 2022

You can choose from a surprising array of care settings: inpatient psychiatric hospitals, outpatient clinics, emergency departments, schools, long-term care centers, or even correctional facilities. You can care for pediatric patients, students, adults, or geriatric patients. Inpatient hospital units.

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Rehab Realities by Renee Kinder

AUGUST 18, 2022

The Centers for Medicare & Medicaid Services has contracted with Acumen LLC and Abt Associates to develop quality and cost measures for use in the IRF, LTCH, SNF, and HH QRPs and the Nursing Home Quality Initiative (NHQI). What was this group’s aim you ask? Project Overview. She can be reached at rkinder@broadriverrehab.com.

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Rehab Realities by Renee Kinder

APRIL 28, 2022

April 2022, however, also brings us a renewed approach and initiatives from the Centers for Medicare & Medicaid Services regarding its National Quality Strategy. The opinions expressed in McKnight’s Long-Term Care News guest submissions are the author’s and are not necessarily those of McKnight’s Long-Term Care News or its editors.

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Rehab Realities by Renee Kinder

JUNE 23, 2022

Social determinants of health, understanding what they are, their impact on patient care, and their influence on effective transitions across care settings are all essential for rehab providers. Let’s begin with definitions. She can be reached at rkinder@broadriverrehab.com.

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Rehab Realities by Renee Kinder

JANUARY 20, 2022

Experts quoted in this week’s McKnight’s Long-Term Care News article address key points that this is a start. However, we could benefit from seeing a broader patient population, more information across the entire course of care, and more granularity in functional outcomes across disciplines.

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Long-term care Article Medicare 2019 52

Rehab Realities by Renee Kinder

JUNE 9, 2022

Therapists across the nation have seen the benefits of telehealth service allowances since the initial Centers for Medicare & Medicaid Services announcement of the telehealth expansion in an April 30, 2020, press release and its COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers.

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Rehab Realities by Renee Kinder

JANUARY 19, 2023

My boss at the time asked me to come prepared to review Medicare Benefit Policy Manual Chapter 15 – Covered Medical and Other Health Services. Not the company policies, or the human resource manuals, but the “gold standard,” as she put it, when it comes to understanding the rules of practice and documentation for Medicare.

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Long-term care Document Medicare 2023 52

Rehab Realities by Renee Kinder

MAY 12, 2022

The Centers for Medicare & Medicaid Services is proposing several changes to the PDPM ICD-10 code mappings and lists. The opinions expressed in McKnight’s Long-Term Care News guest submissions are the author’s and are not necessarily those of McKnight’s Long-Term Care News or its editors.

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Rehab Realities by Renee Kinder

APRIL 14, 2022

On April 11, 2022, the Centers for Medicare & Medicaid Services issued a proposed rule that would update Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective Payment System for fiscal year 2023. . Renee Kinder. She can be reached at rkinder@broadriverrehab.com.

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Solace

MARCH 9, 2023

Long-term care can be expensive. My care is going to cost 10 grand a month,’” While you or a loved one may not need this type of care now, Genworth , quoting federal statistics, says 7 out of 10 people will require long-term care in their lifetime. Department of Veterans Affairs.

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Healthcare Law Insights blog

JULY 17, 2023

Last week, the Centers for Medicare & Medicaid Services issued a Proposed Rule that, if finalized, would extend the application of the “36-Month Rule” from home health agencies (“HHAs”) to also include hospice agencies as well. The 36-Month Rule, found at 42 C.F.R.

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Rehab Realities by Renee Kinder

FEBRUARY 17, 2022

We see the same dichotomy in supporting literacy of the primary diagnosis, which as we all know, is really just cracking the surface, and the development of functional plans of care supporting the full complexity of patients. Take, for instance, the statistics surrounding the Medicare population and multiple chronic conditions (aka MCCs).

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Rehab Realities by Renee Kinder

MARCH 31, 2022

Medicare still currently considers these codes to be non-covered. WIthin this press release the following was noted: “CMS intends to explore coverage process improvements that will enhance access to innovative and beneficial medical devices in a way that will better suit the health care needs of people with Medicare.

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Minority Nurse

MARCH 29, 2023

Meet Esther Conteh, BSN, MSN, Associate Vice President, Care Management at VNS Health, overseeing clinical care of VNS Health CHOICE Medicaid Advantage Plus (MAP) , and Medicaid Managed Long-Term Care (MLTC) plans. What is your title, and where do you work? That’s one thing I love about this work.

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Hope Hospice

JUNE 15, 2020

Home health care is specialized medical care that is ordered by a physician and is administered by trained healthcare professionals such as nurses, physician assistants, physical therapists, occupational therapists, medical social workers, dietitians, etc. Home health care is covered by Medicare and most insurances.

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Hope Hospice

JUNE 15, 2020

Home health care is specialized medical care that is ordered by a physician and is administered by trained healthcare professionals such as nurses, physician assistants, physical therapists, occupational therapists, medical social workers, dietitians, etc. Home health care is covered by Medicare and most insurances.

Caregiver 52

Caregiver Social worker Custodial care Housekeeping 52

Hope Hospice

JUNE 15, 2020

Home health care is specialized medical care that is ordered by a physician and is administered by trained healthcare professionals such as nurses, physician assistants, physical therapists, occupational therapists, medical social workers, dietitians, etc. Home health care is covered by Medicare and most insurances.

Caregiver 52

Caregiver Social worker Custodial care Housekeeping 52

GeriPal

MARCH 14, 2024

Eric: Well, before we talk about dysphagia and revisit it, which is also interesting, because this is our first podcast, I think on dysphagia, but we’ve talked about it before on GeriPal, in our blog. I think someone has a song request for Alex. Raele: I do. I have one. Change by Blind Melon. Eric: Why did you choose this? Raele: Yeah.

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Daily Nurse

SEPTEMBER 12, 2023

We need to understand most nurses in acute care and long-term care settings now are novice nurses or nurses who have only been in the profession for a few years. You’ll get better reimbursement from Medicare, the big blues, and everybody else in insurance. You’ll get better patient outcomes.

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GeriPal

JANUARY 18, 2024

And you wrote, actually, a beautiful GeriPal blog about it a while ago. We could look at cancer registry linked with… Like, I see here Medicare type big data sets, but then you have to rely on insurance claims and that’s going to underestimate SUD when most people aren’t getting treatment and it’s a tough nut to crack.

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Rehab Realities by Renee Kinder

FEBRUARY 16, 2023

Let’s start with some definitions and guidance from Medicare Benefit Policy Manual Chapter 15 – Covered Medical and Other Health Services. We are clinicians, after all, who provide care to complex patients daily so how about we start there! How is that defined per Medicare? Now on to complexities.

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Rehab Realities by Renee Kinder

APRIL 27, 2023

PEPPER is a report that uses National SNF claims data to identify areas within the SNF prospective payment system (PPS) that could be at risk for improper Medicare payment. First, we need to remember that PEPPER target areas were identified by CMS as being potentially at risk for improper Medicare payments.

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Definition Document Medicare Long-term care 97

Rehab Realities by Renee Kinder

MAY 26, 2022

This will be either a patient control number (found at form locator 03a on the UB-04 claim form) or a medical record number (found at form locator 03b on the UB-04 claim form) for a traditional Medicare Part A Fee-for-Service patient who received services from July 1, 2021, through Sept. 30, 2021 (“from” or “through” dates on a paid claim).

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Rehab Realities by Renee Kinder

MARCH 3, 2022

24, 2022, announcement from the Center for Medicare and Medicaid Innovation (Innovation Center) regarding a release for a Request for Applications (RFA) to solicit a cohort of participants for the Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) Model. This theme is noted throughout the Feb.

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Long-term care Medicare 2022 2019 52

Rehab Realities by Renee Kinder

MARCH 30, 2023

In December of 2022, the Centers for Medicare & Medicaid Services issued a proposed rule aimed at improving patient and provider access to health information and streamline processes related to prior authorization for medical items and services. urgent) requests and seven calendar days for standard (i.e.,

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Long-term care Document Medicare Healthcare 52

Nurse.com

APRIL 22, 2023

Perhaps one of the most impacted was nursing homes and long-term care facilities. According to 2023 data from the Centers for Medicare & Medicaid Services website, more than 1.5 The post Change Is Now the “Constant” for Nurses in Infection Control appeared first on Nurse.com Blog. difficile can be prevented.

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Rehab Realities by Renee Kinder

AUGUST 4, 2022

Additionally, we received press releases related to CMS Acts to Improve the Safety and Quality of Care of the Nation’s Nursing Homes and CMS Seeks Public Feedback to Improve Medicare Advantage. Background: Nearly 140 million Americans (74 million for Medicaid, nearly 64 million for Medicare) benefit today from Medicaid and Medicare.

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