The Year Isn’t Over Yet! Time to Focus on the New OT/PT CPT Codes

SIMPLIFY CPT CODING! Discover the remarkably powerful rules engine in MediLinks Learn more Just as we all gear down from the rush of assuring our inpatient rehab facilities were ready for the new quality measures effective October 1, 2016, it…

Written by: Virginia Littlepage on Monday, November 21, 2016 Outpatient Rehab

New Evaluation Codes for OT/PT and Complexity: What Do These Changes Mean?

SIMPLIFY CPT CODING! Discover the remarkably powerful rules engine in MediLinks Learn more In early September 2016, the American Medical Association (AMA) announced important changes in regards to occupational and physical therapy evaluation and re-evaluation codes. Starting January 1, 2017,…

Written by: Shawn Hewitt on Tuesday, November 8, 2016 Outpatient Rehab

Are You Tired of Error Messages and Warning Messages?

Discharge – M0900A. Healed Pressure Ulcers(s) Stage 1 must be blank when M0210 Admission is blank. Missing – GG0170I2. Mobility – Walk 10 feet (Discharge Goal) Missing – GG0170J2. Mobility – Walk 50 feet (Discharge Goal) Admission – C0500. BIMS…

Written by: Virginia Littlepage on Friday, October 28, 2016 Inpatient Rehab

Reminder:  Updates to ICD 10 for October 1, 2016

Just when you thought you had it figured all out, additional changes are coming your way. We blogged about the announcement of new codes in March but wanted to share a friendly reminder to make sure you are taking steps to educate…

Written by: Shawn Hewitt on Tuesday, August 30, 2016 Acute Care Rehab, Inpatient Rehab, Outpatient Rehab, icd-10, ICD-10s

Analysis of FY 2017 IRF Final Rule Payment Data

Assessing gains and losses for FY 2017 IRF payments On August 5, 2016, CMS published the Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) for federal fiscal year 2017 to the Federal Register. This rule establishes the governing policy for…

Written by: Dennis Stevenson Jr., MBA on Monday, August 22, 2016 Inpatient Rehab, IRF-PAI, IRF-PAI 2017

What vendor participation in IRF-PAI 2017 should look like

For most of this year, we have been commenting on the changes coming to IRFs on October 1. There is no doubt that this is the biggest and most pervasive change since the IRF PPS was introduced in 2001. Given…

Written by: Dennis Stevenson Jr., MBA on Monday, August 15, 2016 Inpatient Rehab, IRF-PAI

IRFs Struggle to Meet Medical Necessity Requirements

It’s no secret that inpatient rehab facilities (IRF) are required to demonstrate compliance with a high level of regulatory oversight. From MACs to RACs to the OIG and others, IRFs operate under tremendous scrutiny. And the stakes for this scrutiny…

Written by: Dennis Stevenson Jr., MBA on Tuesday, August 9, 2016 Acute Care Rehab, Inpatient Rehab

The Patient, the Plan, and the Use of Problem-Based Documentation

As therapists, one of the most important items of documentation is creating a clear plan of care. To do this, therapists must evaluate and assess each patient to determine “problem areas.” Often, these “problem areas” are caused by impairments that…


Useful Resources for Understanding the IRF-PAI 2017

As October 1 approaches and with it the new requirements associated with the IRF-PAI 2017, organizations must get up to speed with the details. For many organizations, this is a daunting learning curve. The natural tendency is to find someone…


How long do you really have for IRF-PAI 2017?

You know about the IRF-PAI 2017. You know you have to do something in preparation. You know it’s coming this fall. That’s months away, you tell yourself. There’s plenty of time to get ready. Or maybe not. If you stop…

Written by: Dennis Stevenson Jr., MBA on Wednesday, June 15, 2016 Acute Care Rehab, Inpatient Rehab, IRF-PAI 2017