An unexpected announcement has been made that the Centers for Medicare & Medicaid Services (CMS) accepted two changes to the National Correct Coding Initiative (NCCI) edits effective January 1, 2020 that affect both physical occupational therapy. CMS announced it will no longer allow two frequently used therapy billing codes to be used in combination with …
Call to Action: National Correct Coding Initiative (NCCI) Edit Read More »
Welcome to PDPM! “Less than two weeks in and it feels like we are speaking a new language. CMGs, BIM scores, and NTA comorbidities have already become familiar terms. Now that we are into the new payment system, one thing I can say for sure is that there certainly is no sign of a decreased …
Welcome to PDPM: Thoughts from the trenches two weeks in Read More »
Out with the old, in with the NEW! We are days away from an industry shift that will change care as we know it. Patient Driven Payment Model (PDPM) will focus on individual patient characteristics and comorbidities in deriving payment. Every patient will be unique and the care provided to patients under PDPM will need …
MDS & Dietary: How much do my key players need to know about PDPM? Read More »
Nursing will be a viable, primary skilled service under PDPM When it comes to skilled nursing, SNFs can provide direct skilled nursing services, such as wound care, intravenous feeding, IV medications, etc or skilled-management nursing services, including management and evaluation of a patient care plan, observation and assessment of a patient’s condition, and teaching …
Nursing: How much do my key players need to know about PDPM? Read More »
Out with the old, in with the NEW! Unlike the system it is replacing (PPS), the Patient Driven Payment Model (PDPM) focuses on individual patient characteristics and comorbidities in deriving payment. Every patient will be unique, each an individual. The care provided to patients under PDPM will need to be individualized as well. The …
Mr. Gerald is a loyal patient of the Therapy Center Center in Grand Coteau. He, along with his physicians, have entrusted us with his care following a multitude of events including Parkinson’s diagnoses, rehabilitation after cardiac surgery and most recently for his neck pain. “Your staff is the reason that I come back to the …
At the Therapy Center we pride ourselves on our Looking Forward Giving Back Campaign, as we are incredibly passionate about helping those in need. Think globally, Act locally is the motto we strive to uphold. While we have some of the most caring people on the planet that work with us, there is one particular …
This full version of this article addresses 4 components of PDPM: 1– A brief overview of the PDPM payment model; 2– New challenges impacting nursing, 3– Therapy: Debunking myths and therapy’s role in PDPM; and finally 4– What we can do now to begin preparing for change. This article focuses on Part 4. How …
PDPM Part Four: What we can do now to begin preparing for change Read More »
Mrs. Connie, a native of Church Point, was a patient at The Road Home Therapy Center in 2017 and again in 2018 following 2 total knee replacements. “I lost my husband a couple of months before my first knee replacement, so I requested to come here after my surgery for help with my recovery and rehab. …
Mr. Kenneth, a native of Church Point and a customer of Guilbeau’s Pharmacy, spotted our therapy clinic in downtown Carencro one afternoon. Little did he know, that in just a few months, he would become a frequent visitor of our clinic and an unforgettable therapy patient. After waking up one November morning with a terrible …
Success in a Small Town: Therapy Center Success Story Read More »
