Harmony Healthcare Blog

Medicare Part B Caps

Posted by Joyce Sadewicz on Tue, Feb 06, 2018

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


Click Here to See our Update to this Post.

Congress recessed for 2017 without enacting legislation to address the Medicare “Extender Payment Policies”, including the Medicare Part B Cap.  These policies expired on December 31, 2017 indicating that on January 1, 2018, SNFs are under the prior capswithout any cap exceptions based on patient need.  

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Topics: Medicare Part B Program development

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

Medicare Part B Therapy Program Development Part II

Posted by The Harmony Team on Sun, Jun 13, 2010

MEDICARE PART B THERAPY PROGRAM DEVELOPMENT 

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Topics: Medicare Part B Program development

Medicare Part B Program Development with Quality Indicators

Posted by The Harmony Team on Wed, Jun 02, 2010

Medicare Part B Program Development with Quality Indicators
 
Many facilities strive to achieve a balanced rehabilitation program which includes a strong Medicare Part B Therapy Program. Harmony suggests utilization of the Quality Indicator Report to assist with identification of appropriate rehab candidates.  This report takes information from the most recent MDS and should be reviewed by the rehab staff once a month.  This report should be a integral step in the review process for generating a Medicare Part B caseload.  It should be reviewed monthly to ensure that patients who may have been missed by other screening processes receive the needed rehab services. 
 
Therapy screening is essential in identifying patients for areas of decline or improvement, before loss becomes permanent or opportunities for improvement are missed.
 
Harmony recommends that the rehab staff have the following issues or programs in mind when completing rehab rounds, dining rounds, screens and review of the quality indicator report. 
Positioning.
Contracture management.
ADL's including bathing, dressing, grooming and toileting.
Eating, weight loss and swallowing.
Communication.
Ambulation.
Transfers.
Bed mobility.
Restraint reduction.
Skin issues.
Incontinence.

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Topics: Medicare Part B, Quality Indicator, Medicare Part B Program development

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