Eli's Rehab Report
Here's Your Chance To Give Your Two Cents
The Department of Health and Human Services (HHS) has good news for you. It debuted the Health Care Payment Learning and Action Network (Network) on March 25, which it described as “a forum for public-private partnerships to help the U.S. health care payment system (both private and public) meet or exceed … Medicare goals for value-based payments and alternative payment models.”
The idea behind this platform is to give providers, payers, the public, and other stakeholders an opportunity to share their views and potentially shape of things to come. Comments from President Barack Obama and HHS Secretary Sylvia Burwell featured in the March 25 meeting, which was the first among a series of online meetings.
“The transition to alternative and value-based models is already happening and is only going to accelerate over the next 2 to 3 years,” said Gayle Lee, JD, American Physical Therapy Association (APTA) senior director of health finance and quality, in a March 25 APTA press release. “The Network that CMS is offering is a good way for PTs to stay connected with the conversation about that transition and to contribute a provider’s perspective.”
Eli's Rehab Report
- Outpatient Outlook:
Taste Sweet Victory With SGR Fix, Therapy Cap Repeal Not So Much
Experts fear therapy cap repeal lost its best chance to pass. The April 1, 2015 [...] - Reimbursement:
Your Early April Medicare Payments May Be OK
CMS lends a hand while Congress works out solution. Panicking about your Medicare claims between [...] - Reimbursement:
What Is MIPS?
Included in the Medicare and CHIP Reauthorization Act, legislators introduced a new system called the [...] - Home Health Therapy:
Robust Therapy Documentation Could Make Or Break Claims
Tip: Protect against subsequent reviews by documenting medical necessity carefully. Are you sure every single [...] - HIPAA Breaches:
Protect Against Data Breaches In 5 Steps
Warning: Learn from this sophisticated cyberattack. If you think you have your patient’s PHI well [...] - Reader Questions:
When Is EOT Required?
Question: The resident’s last therapy date was Feb. 21. Medicare ended on Feb. 23. The resident [...] - Reader Questions:
Know When An Unscheduled OMRA Is Okay
Question: The resident’s 60-day MDS has an Assessment Reference Date (ARD) of Feb. 8. The [...] - Reader Questions:
Get A Therapy V-Code Refresher For SNFs And HHAs
Question: I’ve just relocated to a SNF setting from a hospital outpatient therapy department and am [...] - Reader Questions:
Check What a Tech May Or May Not Document
Question: We are currently building out our EMR content and the following questions came up [...] - Industry Notes:
Here's Your Chance To Give Your Two Cents
The Department of Health and Human Services (HHS) has good news for you. It debuted [...] - Industry Notes:
Glitch May Short HHAs For Therapy Visits Furnished
A claims glitch means you may not be getting your full reimbursement for therapy, but [...] - Industry Notes:
Don't Forget The Legible Signature Rule
If your claims are lacking a legible signature, you’ll also find a lack of income. [...]
