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Understanding Medicare MDS 3.0 for the Rehabilitation Professional : Billing,...
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Item specifics
- Condition
- Book Title
- Understanding Medicare MDS 3.0 for the Rehabilitation Professiona
- ISBN
- 9781461154792
About this product
Product Identifiers
Publisher
CreateSpace
ISBN-10
1461154790
ISBN-13
9781461154792
eBay Product ID (ePID)
108161705
Product Key Features
Number of Pages
126 Pages
Language
English
Publication Name
Understanding Medicare MDS 3. 0 for the Rehabilitation Professional : Billing, Documentation and Ethics for Subacute Rehabilitation and Skilled Nursing Home Facilities
Publication Year
2011
Subject
Medical History & Records, Physical Medicine & Rehabilitation
Type
Textbook
Subject Area
Medical
Format
Trade Paperback
Dimensions
Item Height
0.3 in
Item Weight
12 Oz
Item Length
10 in
Item Width
8 in
Additional Product Features
Intended Audience
Trade
Synopsis
There is a newer version of this book. You are viewing the first edition of this title. Check out the second edition for more up to date information.On August 8, 2011, the Centers for Medicare & Medicaid Services released the final ruling and commentary for the new implementation of the MDS changes set to take effect on Oct. 1, 2011. The Reimbursable Therapy Minutes will be the deciding factor in determining whether a Change of Therapy (COT) OMRA (Other Medicare Required Assessment) will be required, if at all. Most of our skilled nursing facilities are using some type of tracking tool for managing the prospective payment system minutes. Some are computerized, while others are still using paper forms. The Change of Therapy (COT) observation week must be scheduled exactly seven days following the previous MDS or observation week. If there has been a change in RUG category, then a Change of Therapy (COT) OMRA must be done and the reimbursement will drop or increase to the new RUG until another change occurs. CMS decided to assume all SNFs should offer seven-day rehab options, so facilities that traditionally offered Monday through Friday services will face immense challenges with the new Change of Therapy (COT) OMRAs. This book has been updated to discuss the new MDS assessment schedule, the allocation of group therapy minutes, the revised student supervision provisions, the End of Therapy (EOT) Other Medicare Required Assessment (OMRA) and new resumption items, and the new PPS assessment- Change of Therapy (COT) OMRA (Other Medicare Required Assessment).The long term care industry has anticipated the new MDS 3.0. RUG IV coding requires the therapist to specifically account for the time captured during the look back period. This book could help occupational therapists, physical therapists and speech therapists understand Medicare standards for subacute care programs to be compliant with Medicare MDS 3.0 standards and state regulations. Documenting and billing strategies are also discussed in this book to attain maximum reimbursement. A list of commonly used ICD-9 codes is also provided.Appropriate billing and documentation should be present in the medical record. Medicare is increasingly reviewing therapy claims to ensure that the therapy provided required the skills of a therapist. The Mandated program, Recovery Audit Contractions, recovered 1 billion dollars during their 3 year demonstration project. This book covers establishing medical necessity, refusing to care for a resident, restraints, safety, creating incident reports, supervising assistive personnel and resident privacy. Coding and billing for subacute and long term care settings are also encompassed in this book, along with denial and appeal management, regulatory guidelines for insurers and improving cash flow with denial management strategies. Proper coding and documentation ensures that facilities will keep their money upon a post payment medical record audit., There is a newer version of this book. You are viewing the first edition of this title. Check out the second edition for more up to date information. On August 8, 2011, the Centers for Medicare & Medicaid Services released the final ruling and commentary for the new implementation of the MDS changes set to take effect on Oct. 1, 2011. The Reimbursable Therapy Minutes will be the deciding factor in determining whether a Change of Therapy (COT) OMRA (Other Medicare Required Assessment) will be required, if at all. Most of our skilled nursing facilities are using some type of tracking tool for managing the prospective payment system minutes. Some are computerized, while others are still using paper forms. The Change of Therapy (COT) observation week must be scheduled exactly seven days following the previous MDS or observation week. If there has been a change in RUG category, then a Change of Therapy (COT) OMRA must be done and the reimbursement will drop or increase to the new RUG until another change occurs. CMS decided to assume all SNFs should offer seven-day rehab options, so facilities that traditionally offered Monday through Friday services will face immense challenges with the new Change of Therapy (COT) OMRAs. This book has been updated to discuss the new MDS assessment schedule, the allocation of group therapy minutes, the revised student supervision provisions, the End of Therapy (EOT) Other Medicare Required Assessment (OMRA) and new resumption items, and the new PPS assessment- Change of Therapy (COT) OMRA (Other Medicare Required Assessment). The long term care industry has anticipated the new MDS 3.0. RUG IV coding requires the therapist to specifically account for the time captured during the look back period. This book could help occupational therapists, physical therapists and speech therapists understand Medicare standards for subacute care programs to be compliant with Medicare MDS 3.0 standards and state regulations. Documenting and billing strategies are also discussed in this book to attain maximum reimbursement. A list of commonly used ICD-9 codes is also provided. Appropriate billing and documentation should be present in the medical record. Medicare is increasingly reviewing therapy claims to ensure that the therapy provided required the skills of a therapist. The Mandated program, Recovery Audit Contractions, recovered 1 billion dollars during their 3 year demonstration project. This book covers establishing medical necessity, refusing to care for a resident, restraints, safety, creating incident reports, supervising assistive personnel and resident privacy. Coding and billing for subacute and long term care settings are also encompassed in this book, along with denial and appeal management, regulatory guidelines for insurers and improving cash flow with denial management strategies. Proper coding and documentation ensures that facilities will keep their money upon a post payment medical record audit.
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- l***1 (1465)- Feedback left by buyer.Past 6 monthsVerified purchaseGreat seller; book exactly as described in mint condition sold at a reasonable price; seller shipped item FAST, FREE and with tracking information, a must nowadays; seller shipped in tight, cardboard mailing envelope, which tightly fit over the book, preventing damage in shipment; good communication too; rate seller 10+++++Cuentos de La Habana Elegante, Brand New, Free shipping in the US (#364594098367)
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- p***l (819)- Feedback left by buyer.Past 6 monthsVerified purchaseItem as described. Poly mailer, no padding. Description clearly states delivery window of several weeks. Yet I chose this seller because item is new. Purchased/paid April 16, shipped April 28, arrived Maryland to SC May 5.This after contacting seller on day 10 to ask why it had not shipped yet. Slow return communication requesting invoice number/transaction date. Just be aware. IMHO eBay has sellers with faster, more efficient delivery service.
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Seller Feedback (381,312)
- l***1 (1465)- Feedback left by buyer.Past 6 monthsVerified purchaseGreat seller; book exactly as described in mint condition sold at a reasonable price; seller shipped item FAST, FREE and with tracking information, a must nowadays; seller shipped in tight, cardboard mailing envelope, which tightly fit over the book, preventing damage in shipment; good communication too; rate seller 10+++++Cuentos de La Habana Elegante, Brand New, Free shipping in the US (#364594098367)
- y***t (1858)- Feedback left by buyer.Past 6 monthsVerified purchaseI purchase the Veterinary Assisting Fundamentals & Applications, Hardcover by Vanhorn, Beth on January 22nd and it took five days which was January 27th to confirm my order, provide a tracking . Once, that happend the textbook sat somewhere 4 more days before it was shipped , it was suppose to arrive Monday, January 3rd, Great seller. Great price, As described, Packed well.Veterinary Assisting Fundamentals & Applications, Hardcover by Vanhorn, Beth,... (#384492381860)
- p***l (819)- Feedback left by buyer.Past 6 monthsVerified purchaseItem as described. Poly mailer, no padding. Description clearly states delivery window of several weeks. Yet I chose this seller because item is new. Purchased/paid April 16, shipped April 28, arrived Maryland to SC May 5.This after contacting seller on day 10 to ask why it had not shipped yet. Slow return communication requesting invoice number/transaction date. Just be aware. IMHO eBay has sellers with faster, more efficient delivery service.