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Skilled therapy services may be necessary to improve a patient’s current condition, to maintain the patient’s current condition, or to prevent or slow further deterioration of the patient’s condition. Let’s start with some definitions and guidance from Medicare Benefit Policy Manual Chapter 15 – Covered Medical and Other Health Services.
Now, health systems that separated care prescription from care delivery (often with the assessments and resource allocation coming from case managers in the public system while care delivery is handled by private agencies) are recognizing that those delivering care should be empowered to develop plans that integrate skilled and non-skilledcare.
Therapy services in connection with a maintenance program are considered skilled when they are so inherently complex that they can be safely and effectively performed only by or under the supervision of a qualified therapist (see 42CFR 409.32) So how does the definition of rehab therapy differ from maintenance therapy?
I mean, we wouldn’t go below standards just because it was maybe harder, but we definitely wouldn’t go way above standard. Whereas in in that mentality, you can only by definition be reactive. <Affirmative> So I’m definitely a fan of it and I want to help continue seeing success of franchises.
. #4 YOU WEREN’T AWARE OF THE “SKILLED NEED” REQUIREMENTS FOR YOUR OASIS ASSESSMENT NARRATIVE NOTE. Doesn’t the mere fact that you’re even involved with this patient as a “nurse” justify their “skilled need” ? Wait a minute??!! Nope, that’s not the case at all (side-eye to Medicare)!
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