Harmony Healthcare Blog

Case Mix as a Medicaid Reimbursement System

Posted by Peter Mastrangelo on Wed, Jun 20, 2012

Case Mix - Medicare Minute

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Topics: Medicare, Medicaid, Case Mix, OBRA, MDS, PPS, MDS assessment, Medicaid Reimbursement

Medicare Part B Therapy Program Development

Posted by Kris Mastrangelo on Wed, Jun 16, 2010

Medicare Part B Therapy Program Development: THERAPY SCREENS FOR THE LTC PATIENT POPULATION
 
Rehabilitation Therapists are integral members of the interdisciplinary team as is their participation in the process of resident assessment for Medicare Part B Therapy Program Development.  The routine therapy screen assists in identifying areas of decline or the potential for improvement, before loss becomes permanent or opportunities for improvement are missed. 
 
It is appropriate to perform routine therapy screening.  While quarterly screens are beneficial, a screen should be completed no less than annually.  The proactive timing of screens may positively impact resident function; Medicaid reimbursement as well as the Facility Quality Indicators in risk indicators.
 
Optimal scheduling of routine screens involves completing the screen in conjunction with the OBRA assessment.  It is beneficial to complete the screening process 2 weeks before the scheduled ARD in order to coordinate services as indicated.  This valued intervention is supported in regulations (F406:  §483.45 Specialized Rehabilitative Services). 

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Topics: Medicare Part B, Medicare Part B Program development, MDS, MDS assessment

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