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SNF + Senior Living

The Three C’s – COVID-19, Care Paths, and Competencies for Long-Term Care

Changes and challenges are never-ending in the long-term care world, and keeping up with these obstacles has continued to get more and more difficult. In this engaging on-demand webinar, therapy industry veterans Susan LaGrange and Lisa Thomson of Pathway Health Services break down these challenges and discuss how to tackle them. Click to View Webinar Check out the webinar […]

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Outpatient Therapy

How Private Practices Can Capture and Maintain a Competitive Advantage

For patients in need of outpatient therapy, there is no shortage of options. Hospitals, clinics, therapy chains, private practices – the field grows more crowded by the day. And while this plethora of choices is good for the patient, it can cause great distress for private practices as they sometimes find themselves losing business to […]

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Leadership

A Conversation with Net Health CFO on Developing a Crisis Model During COVID-19

“Staying flexible, having a perspective, monitoring against that perspective, and making adjustments is absolutely critical” – Net Health CFO, Patrick Rooney The impact of the COVID-19 pandemic on the economy and healthcare is still unknown and difficult to predict. That’s why it is important to pivot, adapt, and play the cards we’ve all been dealt. […]

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Archives for Clinical/Regulatory

Clinical/Regulatory

Home Health

Easing Home Health Staffing Pressures With Contract Therapy Services

Pick any industry today and you’re likely to hear managers complain about talent shortages and hiring woes. For home health agencies, the problem is at an all-time high. CNBC reported earlier this year that employment for home aides is expected to grow 41% from 2016 to 2026, which equates to 7.8 million job openings. And […]

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SNF + Senior Living

Key Changes in the 2020 Final Rule for SNFs

The FY 2020 final rule for SNFs, which CMS released on July 30th, contains several provisions that will impact SNF therapy providers when PDPM goes into effect on October 1st. The changes provide key support to SNFs and their therapy provider partners in the transition to value-based care, and continue to promote greater alignment of […]

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How to Stay on Top of Hospice Recertifications

The Medicare hospice benefit is, by definition, intended for terminally ill patients with a prognosis of six months or less. But in many cases, it can be difficult to estimate life expectancy, particularly for prolonged illnesses with a less predictable disease trajectory such as dementia (which is one of the fastest-growing primary diagnosis categories for […]

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PDPM: 10 Questions About Managing Care, Pricing and Data Analytics

With PDPM less than a year away, therapy providers and SNF operators are now knee-deep in the planning stages. In our recent Getting Ready for PDPM Success webinar, industry expert Michael Katri, one of Optima’s founders and senior product strategist, provided insight into key issues therapy providers will need to consider around pricing, data and […]

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Get Paid Quickly With Clean Claims

More than 60% of outpatient physical therapy claims audited over a six-month period did not comply with Medicare’s requirements, according to a report from the Office of Inspector General (OIG). With an estimated $367 million paid out by Medicare for services that should not have been covered, OIG has recommended that CMS increase its oversight […]

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Audit Trends That Can Impact Your Outpatient Therapy Practice

Therapists in outpatient clinics need to be aware of audit trends that could impact their practice. From documentation to billing and coding, Medicare Part B auditors are paying attention. In our recent webinar on how to keep outpatient therapy clinics healthy, Ellen Strunk, owner of Rehab Resources & Consulting, Inc., shared a few of the […]

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Four Ways to Succeed on Hospice Compare

It’s been a year since the Centers for Medicare & Medicaid Services (CMS) launched Hospice Compare, a website designed to help consumers find and compare hospice agencies based on the quality of care they deliver to patients. While the site has encouraged patients and their families to get involved in their care choices, it’s put […]

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How to Survive a Hospice Survey: 5 Tips

Regulatory changes over the last few years have put hospice providers under the microscope and subject to more scrutiny than ever. Hospice programs are now surveyed at least once every three years, and since the launch of Hospice Compare last year, consumers are able to search for and compare hospice agencies based on quality data […]

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Survey Says: PDPM Is an Improvement Over RCS-1

When CMS replaced RCS-1 with the Patient-Driven Payment Model (PDPM) in April, we analyzed the proposed new payment model for skilled nursing facilities (SNFs) and concluded the following: PDPM offers important revisions and advantages over RCS-1, but the essence of the system is very much the same. In fact, PDPM could be aptly named RCS-1.1 […]

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What the Therapy Cap Repeal Means

In early February 2018, President Trump signed a two-year budget deal that ended a second, brief government shutdown within the first two months of the year. In that massive two-year budget deal was a win for millions of Medicare beneficiaries — the repeal of permanent caps on various forms of therapy under Medicare Part B. […]

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Survey Says: Most Therapy Providers Expect RCS-1 Will Be Delayed

Is RCS-1 keeping you up at night? It’s a question we explored in a recent survey, and therapy providers responded with mixed results. Almost half (48%) said they haven’t started preparing for RCS-1 and are waiting to hear from the Centers for Medicare and Medicaid Services (CMS) before doing so. If CMS goes forward with […]

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