Cognitive rehabilitation is distinguished from Occupational Therapy in that cognitive rehabilitation consists of tasks designed to develop memory, language and reasoning skills that can be applied to specific environments (e.g., home, work) while Occupational Therapy is rehabilitation directed at those specific environments.
Topics: Speech Therapy, cognitive therapy, Speech Cognition
When treating a patient with cognitive disorders, the provider is required to demonstrate to the Medicare Contractor that the skills, knowledge and judgment of the licensed professional are necessary due to the patient’s new onset of symptoms or there is potential to effect change in the patient’s condition. Today’s blog is a two part series. Here are suggestions to better support the documentation in the medical record.
Topics: Speech Therapy, Compliance, Speech Cognition
First, as with any therapy provided in the skilled nursing facility, there must be a significant decline or observation of improvement in performance with a skill once assessed as stable. For dysphagia concerns, ensure the prior level details the patient’s previous diet as well as the ability to perform other functional tasks, such as clear his or her throat and swallow pills. For cognitive-linguistic therapy, it is beneficial to provide anecdotal evidence of cognitive function. For example, if the patient was able to safely navigate to a group activity every week or was independent with his or her pills and financials this would indicate a higher cognitive level.
Topics: Therapy Documentation, Speech Therapy
