Welcome to the HealthPRO® Heritage Blog

5 Star Quality Rating System Changes from CMS

Posted on: February 19, 2015

Nursing Home Compare 3.0: Revisions to the Nursing Home Compare 5-Star Quality Rating System

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Tags: nursing home operations, nursing home occupancy, Contract Rehab Services, skilled nursing facility, medicare, therapy services, Contract Rehab, HealthPro, census development

CMS to Overhaul 5-Star Nursing Home Rating System

Posted on: October 8, 2014

The Centers for Medicare & Medicaid Services (CMS) has big plans for an overhaul  of the five-star nursing home rating system, thanks to the passage of the Improving Medicare Post-Acute Care Transformation (IMPACT) Act, which President Obama signed into law today.

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Tags: nursing home operations, nursing home occupancy, Contract Rehab Services, skilled nursing facility, medicare, therapy services, Contract Rehab, HealthPro, Nursing Homes, CMS

CMS RELEASES FINAL RULE FOR 2014

Posted on: December 18, 2013

QUALITY AND COMPLIANCE ALERT!

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

New CPT Evaluation Codes for SLPs

Posted on: November 22, 2013

Effective January 1, 2014, CPT code 92506 will no longer be available for billing practice. CPT code 92506 is used for billing for the evaluation of speech, language, voice, communication, and/or auditory processing. This code is considered an “umbrella” code and will be replaced with four new, more specific evaluation codes related to language, speech sound production, voice and resonance, and fluency disorders.

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Tags: nursing home operations, nursing home occupancy, CPT Codes

HealthPRO® Rehabilitation and Heritage Healthcare Inc. Merger

Posted on: November 4, 2013

November 1, 2013 – Representatives from HealthPRO® Rehabilitation and Heritage Healthcare announced this week that the two companies have merged.

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

Appealing a Denial for Skilled Therapy Services

Posted on: October 25, 2013

Appealing a denial for skilled therapy services can be a daunting task rife with stress.
However, most Fiscal Intermediaries (FIs) or Medicare Administrative
Contractors (MACs) send specific guidance on information they need to see in a
denial. As this information sometimes differs, the following is an outline of
general information that many have found to be helpful.  

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

CHANGES TO PAYMENT RATES AND POLICIES AFFECTING ACUTE-CARE HOSPITALS

Posted on: September 12, 2013

In August, in its Final Hospital Inpatient Rule, CMS clarified how payments will be
provided for inpatient status, as some Medicare beneficiaries are seen under the
observation stay status as compared to inpatient status, which prevents them
from reaching the three-day qualifying stay required to have skilled nursing
services covered.  This clarification will help determine when the
hospital inpatient status should be extended to a patient. The expectation with
this final rule is that Medicare beneficiaries who are able to receive
inpatient Medicare Part A coverage status will increase. These changes will be
effective for hospital discharges that occur on or after October 1, 2013.

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

The Role of Rehabilitation in Developing Acute and Post-Acute Strategic Partnerships

Posted on: June 25, 2013

Amidst the ever-changing landscape of healthcare reform, post-acute care providers are wisely becoming more strategic about forming partnerships with their community of referring hospitals, along with other post acuter care (PAC) providers. This collaboration is critical for ensuring the continuum of care. Moreover, providers must demonstrate a distinct value proposition for those hospitals looking to form Accountable Care Organizations (ACOs). Building these relationships requires short-term and long term strategic development planning and initiatives that involve all levels of care, inclusive of a facility's Rehabilitation Team. Providers must leverage a robust Rehabilitation Department to help drive quality integration with referring hospitals and physician groups.

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Tags: nursing home operations, nursing home occupancy, staffing, medicare

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

CCRCs Tapping Revenue Streams, Offering Onsite Therapy & Rehab

Posted on: February 8, 2013

Senior care communities are looking for ways to drive revenue through ancillary services, and many are turning to on-site rehabilitation and therapy as strategy to counteract shrinking Medicare reimbursement margins for skilled nursing care.

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Tags: nursing home operations, nursing home occupancy, medicare