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.

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Hospice News

AUGUST 18, 2022

It extends the organizations’ existing partnership for hospital-based palliative care services, bringing this care into more settings such as hospitals, physician offices, long-term care facilities and in the home. Luminis Health was established in 2019 and generates an annual $1.1 independent of the JV.

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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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Rehab Realities by Renee Kinder

SEPTEMBER 1, 2022

The October 2019 industry shift to the Patient Driven Payment Model allowed all rehabilitation professionals the opportunity to document specific clinical characteristics about the patients we serve and directly tie those areas to reimbursement. Renee Kinder. Quite the shift, right? One toileting item. • One oral hygiene item. • Let’s look.

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Rehab Realities by Renee Kinder

MAY 11, 2023

Since the initiation of PDPM in October of 2019, providers have been long awaiting medical review to assess the accuracy of interdisciplinary team documentation. The CR is an attempt to increase comprehension of correct billing practices under the PDPM by all SNF providers that bill Medicare. We knew it was coming!

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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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Daily Nurse

APRIL 24, 2023

Many older Americans receive care from aging services facilities across the United States. There are currently about 14 million people receiving some form of long-term care services. Centers for Medicare and Medicaid Services. That number is expected to double by 2050, according to the U.S.

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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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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

MAY 12, 2022

The Centers for Medicare & Medicaid Services is proposing several changes to the PDPM ICD-10 code mappings and lists. These are some positive steps to ensuring care and reimbursement align with patient needs, evidence-based practice and the unique level of skilled care you provide daily.

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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

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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Rehab Realities by Renee Kinder

DECEMBER 9, 2021

” 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? Assess the impact of the payment alternative on SNF residents, SNF providers, and the overall Medicare system. Recommend adjustments for adoption by CMS.

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Rehab Realities by Renee Kinder

MARCH 31, 2022

This initial set of codes became effective in 2019, and in 2020 an additional code was created to report additional physician/QHP time related to remote monitoring. Medicare still currently considers these codes to be non-covered. Relative values are assigned to these services. However, private payers may pay for these services.

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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

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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Home Care Pulse

JUNE 27, 2023

Amanda Sternklar ( 01:03 ): Since 2019, homo has achieved over 90% unit growth and expanded its footprint into more than 30 new states. Laura is the executive Vice President of Home Well Care Services. Now, for those of us in home care, you know, we know original Medicare is not a payer for us. We hear that all the time.

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AlayaCare

OCTOBER 31, 2019

As 2019 enters the home stretch and we look forward to the year ahead, it’s an opportune time to prepare for the issues and trends that will impact the home care industry. We forecasted increasingly blurred lines between clinical care and personal care. Here at AlayaCare, we built our Care Plan 2.0 In the U.S.,

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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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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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