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Therapy teams take note: CY 2023 Medicare Physician Fee Schedule Final Rule

Rehab Realities by Renee Kinder

Medicare has released the calendar year 2023 final rule related to Medicare Part B, which is impacted by the physician fee schedule and determines rates and coding updates for your rehab providers. In the proposed rule, CMS presented two new G-codes for RTM services for use under the MPFS. Renee Kinder. Ready to learn more?

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Finding your PAC

Rehab Realities by Renee Kinder

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. Is UPAC a new term to you? Let’s start with some background here.

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Avoiding the Pitfalls of Involuntary Nursing Home Discharges/Transfers in Missouri

Healthcare Law Insights blog

Many long-term care residents live in Missouri nursing homes for years. The appeal process itself can be complicated, and an attorney can be very helpful in sorting through the evidence, questioning witnesses, and presenting the case during the appeal hearing. 19 CSR 30-82.050(2)(A)-(F). 19 CSR 30-82.050(4)(B).

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Impact of Section GG, ANAs and Social Risk Factors (SRFs) on PAC outcomes

Rehab Realities by Renee Kinder

The specificity and care taken to create these lists must mean that without them, the kids are all sure to fail! 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).

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Understanding social determinants of health and rehab

Rehab Realities by Renee Kinder

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. Finally, let’s review what key areas were present in this year’s SNF proposed rule surround SODH. Let’s begin with definitions.

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Why ask why? Applying research to daily therapy practice

Rehab Realities by Renee Kinder

When you enter the real-world,” she continued, “clinical practice will continually evolve, you will be presented with protocols, and challenges, new research, and opportunities to learn more. Experts quoted in this week’s McKnight’s Long-Term Care News article address key points that this is a start. I can do this.

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Progress notes and rules for success

Rehab Realities by Renee Kinder

The times I almost passed on during presentations due to nerves. My boss at the time asked me to come prepared to review Medicare Benefit Policy Manual Chapter 15 – Covered Medical and Other Health Services. All this time I was confused with the term skill being associated with Medicare Part A. Prepared I came that day.