In today's episode we meet with Trish Williams to discuss documentation audit trends and pitfalls. We discuss the following topics: What to look for in a documentation audit that will cause a denial of payment for services provided by the therapist in the event of a payer review of documentation. We will start with the evaluation and go through the necessary information needed to support the level of clinical services provided throughout the POC. Additionally, we review some common denial reason...
Mar 03, 2022•9 min
The “What If” podcast series continues with the question: what if every patient received telehealth services during their rehab episode? In this episode, we’ll unpack “What if” and “Why Not”.
Feb 02, 2022•16 min
What if your rehab team could design and own the prevention and maintenance programs for every long-term care patient they served? Check out this episode in the “What if” series to find out more! Register here for the our on demand event mentioned in this episode: https://attendee.gotowebinar.com/recording/2001950510588822791
Jan 26, 2022•16 min
The dreaded drama triangle describes 3 toxic roles unknowingly played in presence of conflict. But what if it didn’t have to be this way? What if the conflict could be controlled and resolved with a shift in roles and mindset?
Jan 19, 2022•15 min
New Year means new intentions and new goals. In 2022, we shift our approach to GG goal setting to a more modern and patient-centered approach.
Jan 12, 2022•16 min
Ryan joins the pod today to discuss our newest QRM clinical program to address your post-COVID population. You won’t want to miss this one…. We figured out sound effects!!!
Jan 04, 2022•20 min
We've got some great trends to share for Section GG self-care and mobility outcomes in 2021! In fact, we achieved the average expected scores for both in May June and July this year. Determine who you would like to nominate as your GG Champion who will be your community's designated expert on scoring methodologies, coding, and documentation for GG in 2022!
Dec 29, 2021•25 min
Megan joins the pod to share our QRM community PDPM trends from 2021 using QAI (Quality Assistive Insights) info in DataIQ. She takes us through each PDPM component and shares multiple great trends which are directly related to our QRM educational focus areas this year! Way to go QRM teams! She also pointed out what we will be working on together next year to address our trend opportunities. If you didn't get a chance to hear about QAI from our partners at DataIQ, listen to this roundtable Frida...
Dec 21, 2021•37 min
Trish Williams joins the pod today to discuss her MICRO goals system for short-term goals. In her experience with reviewing and defending rehab documentation denials, she's identified a pattern of goal setting behavior which contributes to unmet, unrealistic goals which may trigger a denial for payment post service. Use the MICRO goals acronym when setting short-term goals: Measurable, Incremental, Current, Realistic, Objective. This will set you and your patients up for success!
Dec 15, 2021•19 min
This week, the QRM team has gotten together for our annual summit and holiday party. It’s the first time we’ve been able to do this in person so it’s been really exciting and inspiring. We’ve been able to discuss our industry’s challenges and how we will face them together as a community in 2022. One of the summit educational sessions addressed the daily challenges of a DOR and how to overcome them. Listen to this episode for an overview of A Day in the Life of a DOR and check out the on demand ...
Dec 08, 2021•14 min
In today's episode, Ryan reviews QRM's Fall Reduction Program specifically targeting a long-term care nursing home population where 50% of residents experience a fall each year. He discusses some of the challenges nursing home providers face when designing fall reduction programs like: how to address the frequent faller, what to do for the high level resident who hasn't not yet fallen, and how to transition fall programs effectively. Here is link to Ryan's webinar on the community-based fall pro...
Dec 01, 2021•23 min
Ryan Blue joins the pod today to discuss the occupational therapist's role in the identification and treatment of swallowing problems. Under a conventional model of care, you may have used an SLP to treat dysphagia but what if you could expand the roles of other disciplines to address swallowing needs? And when you have no other option, what if you had to come up with an alternative solution that doesn't include an SLP because you simply do not have access one? Ryan shares an alternative solutio...
Nov 23, 2021•20 min
Have you ever felt like you can't get all the important things you need to do done? You are not alone! There are times that it feels like EVERYTHING is important and it's impossible to get all of it done! The good news is, the statement "Everything is Important" is a painful paradox. While it might seem true, it simply can't be true because of a tricky constant variable: time. Time simply doesn't allow us to do all of the things therefore, we must prioritize and do what is really important first...
Nov 17, 2021•26 min
Megan Ussery joins the podcast for part 2 of her 2 part Skilled vs. Unskilled series. In this week's episode she focuses on skilled documentation to support skilled services (check out Episode 81 for a review of skilled services). She offers a few simple strategies to enhance your documentation and support the skilled services provided: 1. Document point of service or right after a service is provided 2. Document services which address the primary reason for SNF and primary medical diagnosis 3. ...
Nov 10, 2021•11 min
Special guest alert! In this episode, Chris Eamiguel and Derek Gay from Data IQ sit down with Freda and Haylie from QRM to discuss the evolution of QAI - Quality Assistive Insights. QAI is a complete, easy to use, real-time analytics platform which offers meaningful information to improve operational and patient outcomes. Check out this video on how QAI started: https://www.linkedin.com/company/dataiq-llc/videos/?lipi=urn%3Ali%3Apage%3Acompanies_company_index%3B3426395d-0bda-4bf2-b2af-ed800a1832...
Nov 09, 2021•22 min
Megan Ussery joins the pod today for part 1 of a 2 part series on what defines a skilled level of care and the necessary documentation to support it. Resources discussed in today’s episode: Chapter 8 Medicare Benefit Policy Manual https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c08pdf.pdf QRM MDS Helpline: https://forms.office.com/Pages/ResponsePage.aspx?id=5QGdE4AYhEOO6Z2CGrlQTmicn3cArCpDgA-bFVoc1FJUQTZMWkRNM1o0VldCSVQ4OU5RV1RKQTQ2UyQlQCN0PWcu...
Nov 02, 2021•11 min
Ryan Blue joins the pod today to share a smooth and simple program he created to address the LTC needs of 4 patient groups: Fall Risk, Incontinence, Dementia, Post-COVID syndrome. This program was created in an effort to make LTC patient identification, assessment, and intervention as easy and streamlined as possible for our healthcare industry that is struggling with workforce retention.
Oct 19, 2021•17 min
Telehealth extenders, facilitators, e-helpers: Call them what you will, but those helping a therapist during Telehealth assessments are a critical part of the health care process. Ryan Blue joins the pod to share his strategies on how to best support and utilize extenders for your telehealth visits. Check out his webinar on Telehealth & Remote Visits: https://attendee.gotowebinar.com/recording/3178430148832135695 And here's a link to a $10 smart phone lanyard similar to what he discussed tod...
Oct 19, 2021•19 min
Megan Ussery, RN, RAC-CT (Resident Assessment Coordinator - Certified) joins the podcast today to share her experiences as an MDS coordinator and how discusses important this role is in your facility. She recently read an article (link below) which describes the alarming spike in MDS coordinators are leaving long-term care. This is a problem!! Megan wants for all of us to thank an MDS coordinator today and offer them support. She offers her MDS hotline as a layer of support (link below) and invi...
Oct 12, 2021•12 min
Ryan and I recently hosted a telehealth webinar which was very well attended and sparked some great questions. In this podcast episode, we will review those questions and share our excitement about the future of telehealth! Register below to view our telehealth webinar training: https://www.gotostage.com/channel/067e8b9b6c394fd09c2d13c0f9ac1ffe/recording/81ec26d8ac0445f99e2af73ff25f790d/watch...
Oct 06, 2021•15 min
I got to chat with Becca Smith, VP of Reimbursement with Caraday Healthcare, at the THCA 71st Annual Convention and Tradeshow this week! She inspired our pod today which covers the new and modern flexibility under the 1135 for therapy assistants to deliver skilled maintenance therapy services! Skilled maintenance programs are not new or modern but have historically required a qualified clinician for delivery (an evaluating PT, OT or SLP). The modern ability for assistants to deliver maintenance ...
Sep 29, 2021•21 min
It’s Fall! And with the new season, we start Fall Prevention Awareness Week. Listen to this episode to learn how to raise awareness in your communities about the impact of falls on older adults and how to start screening today for fall risks in order to develop individualized prevention programs. National Council on Aging Falls Free Checkup https://www.ncoa.org/article/falls-free-checkup CDC STEADI website https://www.cdc.gov/steadi/index.html...
Sep 22, 2021•22 min
Trish Williams joins the pod today to discuss her upcoming education on MICRO goals which will help demonstrate incremental patient progression and reduce risk of denial.
Sep 14, 2021•9 min
Trish Williams joins the pod to share her audit findings specific to rehab denial risks. She shares the top reasons for denial and her method for auditing and providing education to reduce these risks.
Sep 07, 2021•19 min
Freda got to sit down and chat with Cassie Mistretta, CEO of Senior Living Properties (SLP) who was recently included in Fortune's 2021 list of 25 Best Large Workplaces in Aging Services: Senior Housing and Care. Cassie shares her long-term care professional journey, the surprisingly smooth transition to in-house rehab during the pandemic, and the work culture at SLP driven by open-communication, transparency, and ultimately the belief in the goodness of people who have chosen to serve aging adu...
Sep 03, 2021•16 min
In this episode, Ryan Blue, OT and Quality Clinical Specialist at QRM, explains remote patient monitoring (RPM): what it is, why we should consider doing it and how to implement a RPM program in an organization. He lays out best practices to adopting an RPM program including building your team, identifying appropriate patients, onboarding these patients and ensuring engagement and adherence. He also explains billing, reimbursement, and growth of your RPM program. Please reach out for more info o...
Aug 31, 2021•17 min
Join the advocacy effort! Freda and I talked today about H.R. 2168 - The Expanded Access to Telehealth Act of 2021. Listen to hear about Freda’s exciting conversation with ASHA’s Monica Sampson - Director of Healthcare Services in Speech-Language Pathology. And please click and share the links below to urge your representatives to cosponsor H.R. 2168 https://www.congress.gov/bill/117th-congress/house-bill/2168/text https://takeaction.asha.org/asha/Telehealth https://www.apta.org/advocacy/take-ac...
Aug 26, 2021•11 min
Welcome to the hive! The Quality Improvement & Education (QIE) team has new members - meet the whole crew on today’s quick episode.
Aug 24, 2021•6 min
Four telehealth experts from our QRM team share their real-life, multi-discipline experiences with planning and delivering remote therapy services. WELCOME to the pod: Hayley Mason, Sarah Whealen, Keith McCrate, and Ryan Blue!! We've got all therapy disciplines covered (PT, OT, ST) in this discussion so check it out and share with your rehab teams. APTA statement on Telehealth https://www.apta.org/apta-and-you/leadership-and-governance/policies/telehealth AOTA position paper on Telehealth in OT ...
Aug 17, 2021•22 min
If you’re hesitant about incorporating telecommunications into your practice, this episode is for you! Avoid dead-ending without access to patients by using a hybrid care delivery model of telecommunications and in-person visits.
Aug 11, 2021•17 min
