Prepare for a Collaboration with Therapy Using SBAR

Appendix PP of the State Operations Manual states that every resident must receive treatment and care to promote the highest practicable physical, mental, and psychosocial well-being. This optimal treatment and care requires collaboration. When the nursing department involves therapy in discussions about changes in residents’ conditions, they can improve resident …

How the Occupational Therapist Can Collaborate with the Director of Nursing Services

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Colleen Oakley, OTR/L NHA RAC-CT, senior director of operations for Rehab America and treasurer and member of the AAPACN Board of Directors, discuss ways that the occupational therapist (OT) can collaborate with the …

Skilled Nursing Care & Skilled Therapy Services to Maintain Function or Prevent or Slow Decline: CMS Reminder

Medicare covers skilled nursing care and skilled therapy services under skilled nursing facility, home health, and outpatient therapy benefits when a beneficiary needs skilled care to maintain function or to prevent or slow decline, as long as: Visit the Jimmo Settlement Agreement webpage for more information.

Part B Therapy: 2024 Threshold Amounts and Updated Code List

Therapy Services: Per-Beneficiary CY 2024 Threshold Amounts The CY 2024 KX modifier threshold amounts are:  More Information: Therapy Code List: 2024 Annual Update CMS updated the list of codes (ZIP) that sometimes or always describe therapy services and also updated Disposition #10. More Information: Source: https://www.cms.gov/training-education/medicare-learning-network/newsletter/2024-01-11-mlnc#_Toc155704664

Nonpharmacological Pain Management: How Nursing and Therapy Can Collaborate

Historically, pain is underassessed and undertreated in the geriatric population, says Liz Barlow, RN, CRRN, RAC-CT, DNS-CT, QCP, vice president of marketing at Synchrony Health Services in Louisville, KY. “Up to 75 percent of community-dwelling people over the age of 65 in the United States report experiencing chronic pain.” The …

Need Behavioral Health Training Help? Check Out the COE-NF

The Center of Excellence for Behavioral Health in Nursing Facilities (COE-NF), which opened its online doors in December 2022 thanks to a three-year grant from the Substance Abuse and Mental Health Services Administration (SAMHSA), is a centralized hub where any Medicare- or Medicaid-certified nursing home can access trainings, tools, and …

Restorative and Therapy: Collaborate for Successful Outcomes

Restorative nursing programs are effective interventions to maintain or improve a resident’s independence in tasks of daily living. According to the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User’s Manual, on page O-42, “Restorative nursing program refers to nursing interventions that promote the resident’s ability to adapt and adjust …

Uncover Unusual Contributors to Fall Risk

The RAI User’s Manual states that “A previous fall, especially a recent fall, recurrent falls, and falls with significant injury are the most important predictors of risk for future falls and injurious falls” (CMS, 2019, p. J-27). However, there are many more items that must be considered when assessing a …

Involve the Therapy Team to Address Changes in Condition and Improve Resident Outcomes in Nursing Homes

By Liz Barlow, RN, CRRN, RAC-CT, DNS-CT, AVP Clinical Innovation, Synchrony Rehab At the end of August, the Centers for Medicare & Medicaid Services (CMS) held a National Provider Stakeholder call to review some of the recent COVID updates. CMS commented that data collected, along with nursing home surveys, are …

ADR Successful Outcomes with Part B Therapy Audits

In nursing facilities, one of the primary regulatory requirements from Appendix PP of the State Operations Manual is that goods and services are provided to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident (§483.24 Quality of Life). One intervention frequently used is Medicare Part …