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Doctors, Software, Training: Preparing for ‘Non-Negotiable’ PDPM Coding Pressures

by Skilled Nursing News
Starting October 1, skilled nursing facility operators will have no choice but to become proficient with a specific type of medical coding that previously had no bearing on reimbursements — and leading industry voices say there are multiple paths to getting there.

ICD-10 codes, specific diagnosis identifications long used by hospitals, will play a key role in the new Patient-Driven Payment Model (PDPM), and facilities only have a few more months to get staffers up to speed.

Click here to continue reading this article.

Exclusive PDPM Training For HTS Partners

Generate Powerful ICD.10 Coding
We are committed to supporting our partners by offering exclusive PDPM webinar and live trainings in critical areas to foster success as we “Power through PDPM.”

These sessions will review ICD-10-CM coding conventions and official guidelines for coding/reporting to gain knowledge on appropriately assigning ICD-10 codes, a focus on the diagnosis codes that impact reimbursement under the Patient Driven Payment Model (PDPM). Please contact us to register. Not a partner? Contact us to learn how we’re providing even more value to our partners.

Tuesday, April 9 – Evansville
Wednesday, April 10 – Louisville
Wednesday, May 29 – Fort Wayne
Thursday, May 30 – Indianapolis

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Early Implementation for PDPM Success

By: Cassie Murray, OTR, ,QCP, Chief Operating Officer

Site-Specific PDPM Impact

Individual PDPM Meetings with all partner sites: All HTS partner sites received education on PDPM along with their specific PDPM Impact Analysis.

Deep Dive into Data

HTS operations is diving deep into site-specific data in order to establish additional best practices and clinical pathways based on diagnosis category and functional level. HTS is conducting extensive data analysis by site to analyze the following key items: history, patient population, conditions, principle diagnosis, diagnostic category, functional level, the amount of time spent in therapy as well as their functional outcomes. This data gives sound strategic direction to process improvements and clinical positioning to foster success under PDPM.

Therapy GG Coding Analysis

All HTS therapists are certified in the CMS Care Tool, which is the standardized outcome for mobility and self-care. However, we are auditing our therapists’ GG coding to ensure continued confidence that our therapists are accurate and skilled in GG coding.

Current MDS Data Analysis

HTS is partnering with clients to upload actual 2018 MDS data and provide patient-specific analysis to identify opportunities, trends, education, and auditing needs to ensure accuracy incoding and optimize system processes. This information is valuable as we craft a PDPM strategic plan for each community we serve.

Powerful Partnerships

We have collaborated with the nursing and MDS experts from Proactive Medical Review to provide comprehensive training and resources for nursing and other nontherapy departments within the IDT. Together we are offering our Power Through PDPM exclusive training series of monthly trainings to focus on each key component of PDPM preparedness.

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Technology We’re Loving!

The Bungee Mobility Trainer by Neurogym Tech. available through Medline

“Therapists like this piece of equipment because it allows our rehab guests to work on static and dynamic balance while eliminating the fear of falling. I witnessed a new CABG patient with sternal precautions dancing with one of our therapists using this device. Pretty amazing stuff!

Also, I like the design and smaller footprint of this piece as before our only options for partial weightbearing were to purchase ceiling tracks and harnesses, or large, expensive equipment that fits over treadmills and takes up too much space in the rehab gym. We have heard nothing but good reviews from our therapists on this piece of equipment. It’s becoming the next “must have” in addition to the Biodex Balance Trainer and the ACP Omnicycle which are always popular.”

–  Amanda Green, Executive Director Marketing & Strategic Development

Check it out now!

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You’re Invited to Join Us

Improve Brain Health & Memory FREE Community Workshops

We’re excited to sponsor FREE Community Workshops focusing on Solutions to Improve Your Mental Fitness & Overall Brain Health. Check out the schedule below to find the workshop in your area. Each workshop will provide you with:

  • Tips To Engage Your Brain For Maximum Mental Fitness
  • Learn What Foods Can Improve Your Memory
  • Benefits of Exercise For Your Brain
  • How Outpatient Therapy Can Help You Regain Your Daily Independence
  • Take Home A Free Brain Health Workout

Light Refreshments will be provided. There is no cost to attend, FREE and open to the public.

 

Workshop Schedule

Crestwood Village East

1123 N Edmondson Ave, Indianapolis, IN 46219, In the Ballroom
Tuesday, March 12th, 2:00 – 3:00 pm
If you have any questions about this workshop, call Madison: 317-351-1786 or Jason: 317-357-1100

Crestwood Village West

230 Welcome Way Blvd, Indianapolis, IN 46214, In the Ballroom
Thursday, March 14th, 2:00 – 3:00 pm
If you have any questions about this workshop, call David 317-273-8800

Crestwood Village South

8809 Madison Ave, Indianapolis, IN 46227, In the Ballroom
Tuesday, March 19th, 2:00 – 3:00 pm
If you have any questions about this workshop, call Jim 317-885-3461

Woodland Terrace Carmel

689 Pro Med Lane, Carmel, IN 46032, In the Inspiration Room
Wednesday, March 20th, 1:30 – 2:30 pm
If you have any questions about this workshop, call Dennis 317-564-0180

Woodland Terrace, New Palestine

4400 Terrace Drive, New Palestine, IN 46163, In the Fitness Center
Thursday, March 21st, 2:00 – 3:00 pm
If you have any questions about this workshop, call Bryan 317-623-5834

Crestwood Village North

9225 Garrison Dr, Indianapolis, IN 46240, Building #2
Thursday, March 28th, 2:00 – 3:00 pm
If you have any questions about this workshop, call Jill: 317-447-7430 or the office 317-844-9994

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Diabetes Management & Prevention

Diabetes is a chronic disease that affects how your body turns food into energy. There is not any one specific cause of diabetes however there are many factors which contribute to a higher risk of getting the disease including but not limited to genetics, obesity, physical inactivity, high blood pressure and cardiovascular disease.

Type 1 Diabetes – Caused by genetics and unknown factors
There is no cure, however it can be managed to prevent further diabetes-related complications.

Type 2 Diabetes – Caused by genetics and lifestyle factors
Can be prevented or delayed with healthy lifestyle changes.

Prediabetes affects more than 84 million adults in America
Losing weight and staying active can greatly reduce your risk for developing type 2 diabetes.

Healthy Lifestyle Choices

Diet – A healthy diet is one that is rich in nutrients and low in calories. Eat foods high in fiber such as fresh fruit, vegetables, whole grains and nuts.
Hydration – Be sure to drink plenty of water and avoid sugary drinks and caffeine.
Exercise – It’s very important to exercise for 45 minutes or more at least 3-4 times per week. Walking, riding a bicycle, running, and swimming are a few examples.

Therapy’s Role in Managing Diabetes

Occupational Therapy can help improve the individual’s physical, cognitive, psychosocial, and sensory aspects; which are important in all aspects of everyday living activities.
Physical Therapy can assess to determine a set exercise routine that would be safe and beneficial. Also, diabetic neuropathy can be treated with massage, balance and gait training, and conditioning.
Speech Therapy can assist with difficulty swallowing or talking, due to complications of diabetes.

 

Source: Centers for Disease Control and Prevention

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HTS Kicks Off PDPM Education

Last September through December, HTS provided introductory trainings via a series of PDPM 2-hour live trainings for partner communities and staff. The training covered PDPM fundamentals and methodology accompanied with an action plan for success. A facility specific PDPM impact analysis was completed as a baseline resource for operational readiness.

“I was privileged to be invited to a recent PDPM training in Edmonton conducted by HTS. The information that was provided at the training was focused and well presented. Although, I know there will be changes as the final rule develops in mid-2019, I felt that HTS had done an excellent job summarizing the proposed rule on PDPM and did a great job with the presentation.” – Terry Skaggs, CFO Wells Health System, Owensboro, KY

We would be happy to provide complimentary training. If you would like us to schedule time to meet with your acute care providers and physicians, contact us at info@htstherapy.com.

We are committed to supporting our partners by offering exclusive PDPM webinar and live trainings in critical areas to foster success as we “Power through PDPM.”

January:
PDPM Impact & Facility Action Plan

February:
Effective Systems & Section GG Coding

March:
Light up Your Admissions Process: Systems for Successful PDPM Transition

April-May:
Generate Powerful Coding—ICD.10 Live Trainings

June-July:
Supercharge Your MDS: 6-Part Series

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