Welcome to the HealthPRO® Heritage Blog

New scoring system could identify patients at risk of readmission, improve transitions between acute and post-acute settings, researchers say

Posted on: March 28, 2013

Researchers have developed a scoring system to determine which hospital patients are at highest risk of readmission within 30 days of discharge, potentially helping acute and post-acute providers focus on high-intensity transition care for these patients.

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Heritage Healthcare Tailors Corporate Management Structure to fit Changing Times

Posted on: March 27, 2013

Paul Shaw, President and CEO of Heritage Healthcare announced that to better serve residents and customers and adapt to future industry changes, the company has re-engineered their organizational structure by combining Clinical Services and Operations into one unifying department to be titled Rehabilitative Services. The field delivery of those services are now organized into 4 distinct service lines: Skilled Nursing Services, CCRC Services, ALF Services and Clinical Education and Compliance.

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Tags: Heritage Healthcare, Contract Therapy Provider, Rehab Services, Physical Therapy

RAC Audits Coming to a Facility Near You

Posted on: March 26, 2013

E2XPONENTIAL™ Health Care Consulting Group, A HealthPRO Company, is offering a comprehensive mock RAC Audit to assess the following areas:

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Tags: nursing home operations, MDS 3.0, staffing, skilled nursing facility

Manual Medical Review of Therapy Claims Above the $3,700 Threshold

Posted on: March 26, 2013

On March 21, 2013, CMS updated its Therapy Cap Services webpage with the final guidance on Manual Medical Review (MMR) for therapy claims above $3,700. Below is the policy posted by CMS.

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Tags: nursing home operations, nursing home occupancy, skilled nursing facility, medicare

Manual Medical Review of Therapy Claims Above $3,700 Threshold

Posted on: March 21, 2013

The American Taxpayer Relief Act of 2012 (ATRA) was signed into law by President Obama on January 2, 2013. This law extends the Medicare Part B Outpatient Therapy Cap Exceptions Process through December 31, 2013. Section 603 of this Act contains a number of Medicare provisions affecting the outpatient therapy caps and manual medical review (MR) threshold.

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