Industry Updates

WPS Announces New Prepay Edit

Wisconsin Physicians Service (WPS) announced on April 17, 2017 the initiation of a new prepay edit for complex medical review of Part A inpatient SNF claims in the J5 Jurisdiction. The J5 Jurisdiction…

Managing Patient Refusals

We’ve all had the patient that is difficult to engage in therapy. The reasons are many: “I’m too tired, my family is visiting soon, and I’m afraid I’ll fall, it’s too hard, and I just had…

Occupational Therapy Month

A Brief Stroll Down Memory Lane….. Our early beginnings evolve from the Moral Treatment Model which was introduced in the 18th century by Philippe Pinel a French physician and Johann Reil, a German…

Certification Requirements for Therapy Services

Part A Services
Payment for covered post hospital extended care services in the SNF requires a valid physician certification/recertification. The Skilled Nursing Facility is responsible for obtaining…

Safe Utilization of Hydrocollator Packs

Most all physical and occupational therapists as well as assistants are familiar with the use and indications for hot packs: increases vasodilation resulting in increased blood flow; reduction of pain…

Clinical Management of Acute Exacerbations of COPD

The World Health Organization (WHO) (2017), classified chronic obstructive pulmonary disease (COPD) as the third leading cause of death and disability. COPD is defined as any restriction of the bronch…

Documenting for Co-Treatment: What is Required?

Co-treatment may be appropriate when clinicians from different professional disciplines can effectively address their treatment goals while the patient is engaged in a single therapy session. For exam…

Importance of Care Planning

The therapist plan of care and the nursing care plan should be the “drivers” when determining the appropriate amount of skilled intervention required by each discipline. The plan of care should be…

Documentation Requirements: When Plan of Care Frequency is NOT Met (For Medicare A and Med A like Payers)

Definition of Frequency:
• Frequency refers to the number of times in a week the type of treatment is provided.
• There is not clear guidance from CMS on what a week is. Is it Sunday through Sa…

February American Heart Month 2017

So, what is a VAD?
A ventricular assist device (VAD) — also known as a mechanical circulatory support device — is an implantable mechanical
pump that helps pump blood from the lower chambers of…