Rehab Realities by Renee Kinder

SEPTEMBER 26, 2024

Every fall, healthcare professionals anxiously await the release of the Medicare Physician Fee Schedule (PFS) Final Rule, which outlines policy changes for Medicare payments under the PFS and updates to other Medicare Part B payment policies. What the Final Rule doesn’t fully explain is the journey that brought us here.

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Rehabilitation services Long-term care Medicare Document 98

Hospice News

JANUARY 31, 2024

Participants are typically those certified by a state to require nursing level of care (which can be home-based), and need assistance with certain activities of daily life (ADLs). Most PACE participants are reimbursed through the long-term care programs within Medicare and Medicaid, according to Black.

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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. 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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Rehab Realities by Renee Kinder

NOVEMBER 10, 2022

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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Medicare 2023 Long-term care 2022 52

Rehab Realities by Renee Kinder

AUGUST 18, 2022

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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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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2017 2012 2022 Document 145

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. Statistics in PEPPER are presented in tabular form and in graphs that depict the SNF’s target area percentages over time. 1 through Sept. 30) included in PEPPER.

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Definition Document Medicare Long-term care 97

Hospice News

OCTOBER 19, 2023

This was presented back in Tampa at a post-acute long-term care conference earlier this year, where we looked at the ability of speech recognition to drive down Medicare denials of claims. How does this relate to a hospice bottom line at a hospice organization? We did a large study with Amedisys.

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Hospice News

NOVEMBER 28, 2022

If you can’t do that, the only alternative that we have in our system is to pick up the phone and call somebody, to go to the emergency room or go to long-term care. I’m not saying they’re not, but they are not as present. They would be so afraid. And it’s causing all kinds of problems.

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Rehab Realities by Renee Kinder

AUGUST 29, 2024

I quickly found myself drifting into boredom, my hand automatically reaching for a pen to take notes from the PowerPoints each teacher presented. Medicare, the primary payer for many skilled nursing facility residents, provides clear guidelines on what constitutes skilled therapy services. We have all heard the rules a million times.

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GeriPal

MARCH 10, 2022

And I wrote a paper a couple years ago, entitled Forced to Choose: When Medicare Policy Disrupts End of Life Care. It’s Forced to Choose: When Medicare Policy Disrupts End of Life Care. Nursing homes are subsidized by their Medicare, by their rehab patients. Alex: Could you say the title again?

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Healthcare Law Insights blog

OCTOBER 17, 2023

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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Nursing home Long-term care Document Nursing 59

Home Care Pulse

MARCH 30, 2023

Introducing the Assessment A common mistake while trying to schedule an assessment is to present it as just paperwork that needs to be completed before services can begin. While there may be some paperwork required, the consultation (typically done in-person) provides so much more benefit to the person in need of care.

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GeriPal

OCTOBER 19, 2023

Alex: And we’re delighted to welcome back Karl Steinberg, he’s a palliative care doc and a geriatrician. He’s President of National POLST and recent past president of AMDA, the Long-Term Care Association. He’s been a hospice and nursing home director. Welcome, Karl. Karl: Thanks for having me.

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Rehab Realities by Renee Kinder

JANUARY 20, 2022

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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Rehab Realities by Renee Kinder

JANUARY 19, 2023

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.

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Document Long-term care Medicare 2023 52

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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Download Document Long-term care Medicare 52

Rehab Realities by Renee Kinder

MARCH 31, 2022

To begin, as noted by the AMA, digital medicine presents an opportunity to improve access and to offer cost-effective medical care to a large swath of patients with varied needs. Medicare still currently considers these codes to be non-covered. Background on DMPAG and impact of CPT coding. See a theme here?

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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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Nurse.com

APRIL 22, 2023

The renewed focus on how infection control in nursing is presented to healthcare professionals is among the major lessons learned since 2020. 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

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Home Care Pulse

JUNE 27, 2023

I was working in home Health back when it was first introduced back in 2010, as a way for c m s to not only create structured penalties for hospitals with excessive readmissions, but also to reward and incentivize those providers for effective care coordination and collaboration with post-acute providers across the care continuum.

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Home care agency Home care Caregiver Registered Nurse 89

GeriPal

JULY 6, 2023

Susan: I got my start working for a member of Congress doing constituent casework and a lot of the casework was supporting older adults with VA, Social Security, Medicare, immigration casework. It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance.

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Geriatrics Medicare Caregiver Social worker 184

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Diane: Yeah.

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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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Home Care Pulse

MAY 22, 2023

One action within the order calls to enhance job quality for long-term care workers. This order direct s the department of Health and Human Services to consider regulations and guidelines to improve the quality of home care jobs, and to continue looking toward minimum staffing standards for post-acute nursing facilities.

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Rehab Realities by Renee Kinder

DECEMBER 19, 2024

However, with her trainer present, plenty of horse moms around, and no official rule saying I couldnt, I decided to trust her plan. For SNF rehab teams, the Medicare Benefit Policy Manual, specifically Chapters 8 and 15, is a foundational resource. Myth 3: If therapy isnt provided on weekends, Medicare wont pay for the stay.

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Long-term care Document Medicare Nursing 105