Harmony Healthcare Blog

Person-Centered Therapy Services

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Thu, Mar 15, 2018
Kris Mastrangelo, OTR/L, LNHA, MBA
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C.A.R.E.

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


Portrait of active elder lady training with dumbbells.jpegTherapy Services (PT/OT/ST) rendered in SNF are subject to the parameters outlined in the Medicare Benefit Policy, Chapter 8. 

Specifically, the daily skills, knowledge and judgement of therapist are necessary for the provision of said services as no other caregiver is qualified to render the interventions.  The ultimate goals of skilled therapy are for the patient to: 

  • Attain his or her prior level of function,
  • Achieve his or her highest practical state of wellbeing,
  • Prevent deterioration, and or
  • Establish and Implement a maintenance program. 

RCS-1 Part 2

Multiple clinical conditions may impact the patient’s response to therapy.  The Requirements of Participation emphasize the expectation of person-centered care. This model of care permeates beyond the nursing domain and includes all aspects of care, including therapy.  Harmony Healthcare International (HHI) reinforces rendering and portraying a person-centered delivery within the: 

  • Treatment Plan
  • Goals
  • Modalities
  • Weekly Notes
  • Daily Notes
  • Minutes 

Treatment individualization requires ongoing refinement and adjustments to the therapeutic interventions.  This may be seen in variations of the expected and actual treatment time, i.e., minutes of therapy.  In fact, minutes rendered in a consistent pattern may be perceived as non-individualized.  It is prudent to assess whether the therapy team is aware of this risk area and provide guidance on the regulation.

Harmony Healthcare International (HHI) is available to assist with any questions or concerns that you may have. You can contact us by clicking here.  Looking to train your staff?  Join us in person at one of our our upcoming Competency/Certification Courses.  Click here to see the dates and locations. 


Join us November 1st & 2nd, 2018 at Mohegan Sun Resort for harmony18
7th Annual LTPAC Symposium
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harmony20 October 29-30 2020 Encore Boston Harbor

Topics: Person-Centered Care

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