Mediware Rehabilitation Blog
Why is it important you review this bill? What affects you, the rehabilitation provider? Let me carve out just a few of the sections that impact you TODAY, perhaps in the same way as yesterday or slightly different!
indications have all prepared us to accept Oct. 1, 2014 – AMAZINGLY Congress pulls another possible lame duck intervention in a fast tracked bill that includes SGR fix and Therapy Caps extensions AND a possible delay to ICD-10 coding! To everyone’s surprise, even the moderator of our March 26th webinar as she was speaking the present known facts for ICD-10 implementation, Congress was conjuring up a delay extension language for to Oct. 1, 2015. CAN IT HAPPEN? The next few days and congressional actions alone will tell!
Improving Medicare Post Acute Care Transformation = IMPACT Act of 2014
You will want to know about this Act because it will provide you with the time line for when the standardized PAC assessment tool will be initiated!
To so many, the coding requirements and all their nuances are a mystery when attempting to educate acute care coders on the specific rules for an exempt IRF/U. In addition, there is turnover and new learning that must occur for IRF-PAI Coordinators, liaisons, physicians and all staff that contribute to the documentation within an IRF. The coding of the IRF-PAI and the coding on the billing document have some similarities and some very disparate rules.
We encourage you to follow this link as we discuss some highlights from the inservice.
Typically, investing in technology involves acquiring an electronic information system to capture, record, document and report the elements of patient care to justify what was done to the patient. These “systems” are software and depending upon the provider’s care setting, are referred to as Electronic Health Records (EHR) or Electronic Medical Records (EMR) and, as President George W. Bush predicted, all physicians, providers and hospitals should by now have one. The associated costs of developing, acquiring and using this technology are high and have slowed the realization of Bush's objective.
As promised, now that everyone has had more than a few months to experience the workflow, the lessons learned and the best information on how to avoid G-code denials; it's time to circle back for more survey comments!
In 2011, CMS initiated the quality reporting measures for Inpatient Rehabilitation Facilities; the third proposed measure, “30 day readmission rate” was dropped from discussion. Hospital readmission penalties have had a significant economic impact especially for high-intensity teaching hospitals. Until now, IRFs have been flying under the radar of reported readmissions. A recent study published by Ken Ottenbacher, in the Journal of the American Medical Association brings renewed attention to the issue.
Annually, Medicare provides updated information for the Medicare Beneficiary on how to access and understand their benefits. This year is no exception, the 2014 Medicare & You pamphlet/manual has been uploaded to the CMS website. If you don't understand A, B, C and D levels of Medicare coverage, this is the place to discover this and more.
When the 2014 Final Rule was debated and then completed, the rationale for squeezing presumptive compliance became paintstakingly clear. If you presume without true due dilligence to the Rehab 13 criteria within your documentation, the benefit of the doubt has been removed and manual medical review will preside not this year but the next IRF fiscal year (discharges after Oct. 1, 2014). Take this as time to educate and prepare what your pre-admission screening must demonstrate to include these conditions to meet manual review. Let's review.