We knew you had questions!
Keep them coming – That’s what we’re here for!
See our answers below to the most popular questions each month!
Individual or Facility Membership required to view the Answers
Our Members say having their own “personal consultant” is priceless!
(January 2018 – Valerie – Auditor)
2 Part Therapy Cap Question:
Q1: When a patient is being seen under Part B in a SNF, if they meet their cap, is the documentation more likely to be scrutinized?
Q2: How does a clinician know when they are treating a patient beyond their cap?
(January 2018 – Donna PT- DOR)
Q: Can PTA’s and COTA’s write notes for patients on Med B?
(December 2017 – Kelly, DOR)
Q: For Medicare Part A, what are the rules for moving an ARD and for Grace Days? If a RUG is not met on the last ARD date, but was met the day before, can it be moved back a day or is this backdating?
(December 2017 – VB, Manager)
Q: Does CMS submit HCAPS surveys to SNF residents like they do for HH patients? Do they post the results publicly? If not now, do they plan to in the future?
(November 2017 – Lindsey, MDS Coordinator)
Q: I’m in NYS and have a Case Mix question. When we fill out Section S of the MDS, we have to select if a resident is Managed Medicaid, Medicaid, etc. Which selections “count” in the Medicaid Case Mix?
(November 2017 – Beth, Rehab Manager)
Q: Do SNF’s get reimbursed in any way for PT, OT or SLP Evaluations for a new admission covered under Medicare Part A? Our administrator is saying yes but I can’t find this information anywhere. Can you clarify whether SNF’s get reimbursed a separate rate for doing a therapy eval for Med A?
(October 2017 – CB, Rehab Manager)
Q: Can you point me in the right direction where to find the “regulation/rule” that alarms are considered a restraint?
(October 2017 -CB, Rehab Manager)
Q: I’d like to propose to the owner of our facility (SNF) to purchase an estim and an ultrasound machine. Can you point me in the right direction where to find information regarding the monetary reimbursement of these modalities??
(September 2017 – Beth)
Q: How does a therapist “pick” the right medical ICD-10 code in the SNF? Does it have to match the MDS? Can it be different? Therapy picks their treatment code without issue based on the patient presentation, but there is question about the medical diagnosis we have to enter on our plan of care. Facility position is that the therapy medical diagnosis must match whatever the MDS coordinator picks as the primary diagnosis. Sometimes the code MDS picks is not available in the rehab software. Help!
(August 2017 – Donna – RD)
Q: Can you please tell me what the regulation is on initial MD orders. I understand we have 30 days for signature on plan of care, but what is the time frame for eval and treat orders-how long do we have for the doctor to sign? I am being told 48 hours. And I looked at the SOM pub 100-02 chapter 15 section 220 and 230 but still unclear.
(July 2017 – CC – DOR)
Q: In preparation for an OMIG audit we noted a MD order for “OT Evaluate and Treat” is missing. Is there anything the facility can do to fix this?
See more Questions and Answers like these:
To ask a question of your own, click here.
New Q&A are posted monthly!
*Please note that when we receive multiple questions about the same topic (and we do!), we select one question and answer to post here to represent all questions submitted for that category. However, each Member submitting a question will receive a personal email response!