by Gina Elkins | Monday, October 3, 2016 | Compliance
In February of 2016, CMS reported that Strategic Health Solutions will be the Supplemental Medical Review Contractor (or “SMRC”) performing post-payment Manual Medical review of all Medicare Part B claims that exceed the $3,700 threshold. This manual review is...
by Gina Elkins | Friday, September 9, 2016 | Compliance
CPT Codes Heaven-Bound? So long and farewell to PT and OT CPT codes 97001, 97002, 97003, and 97004! According to The Department of Health and Human Services’ proposed rule, Physical and Occupational Therapy Evaluation codes will be changing effective on or after...
by Functional Pathways | Wednesday, September 7, 2016 | Clinical, Compliance
At every level of treatment, the resident’s length of stay is getting shorter and shorter. Post Acute Care facilities are starting to see sicker patients for shorter stays, and we are discharging sicker patients back home with home care to follow. When thorough...
by Gina Elkins | Monday, July 11, 2016 | Clinical, Compliance
On June 24, 2016, The Centers for Disease Control and Prevention (CDC) released 2017’s ICD-10-CM codes. These 2017 ICD-10-CM codes are to be used for patient encounters and for discharges occurring from October 1, 2016 through September 30, 2017. What the CDC...
by Gina Elkins | Monday, March 28, 2016 | Compliance
Who doesn’t like a hug now and then? Giving and receiving a hug will decrease stress and show others that you care. But when you “hug a RUG”, that will have the opposite effect. You will increase stress and the auditors will show you they care! On March 9, 2016 CMS...
by Functional Pathways | Thursday, February 25, 2016 | Compliance, Featured
Effective communication is a challenge that affects all areas of health care. Often times the lack of communication alone will precipitate a resident harm event. How do you ensure that all the care providers have the necessary information to work with your residents?...
