NASL Newsletter Feature: US Senator Mike Braun Visits HTS Therapy Office
On April 24, 2019, U.S. Senator, Mike Braun visited Healthcare Therapy Services (HTS) and one of HTS’ partner facilities in Indiana. NASL members were able to talk with the Senator about the hospital observation stays issue that was NASL’s top issue during the Winter Conference in February. The Senator spent about an hour visiting with staff, as well as interacting with residents.

Thank you NASL for featuring us in your latest newsletter!

Pictured: Senator Mike Braun; his wife, Maureen; Cassie Murray, HTS COO; and Keith Yoder, CEO with Hickory Creek Healthcare Corporation

Pictured: Healthcare Therapy Services representative Shaleen Bhatnagar, Regional Director; Stephen White, Rehab Manager; Cassie Murray, HTS COO; and Steve Chatham, President

by Stacy Baker, OTR/L, CHC, RAC-CT, Proactive Medical Review

The Quality Improvement Organization (QIO) Program originated with the Peer Review Improvement Act of 1982 and is authorized by Title XI Part B and Title XVIII the Act. The goal of the QIO program is to improve the quality of care for Medicare beneficiaries, including beneficiary complaints, skilled service termination appeals, and Immediate Advocacy to protect the Medicare Trust Fund. The QIO program is to achieve this goal through performance of various case review directives promulgated by CMS in the QIO Contract.

As of June 8th, important updates apply to the Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QI) in Indiana and Kentucky. Providers should review documents and publications noted below with references to KEPRO. The following actions should take place:


  • Remove KEPRO (effective June 8, 2019) and replace with Livanta information

About Proactive Medical Review
HTS partners with Proactive Medical Review, a third party company who specializes in ensuring compliance with regulatory standards and promoting measurable care excellence. The team includes SNF experienced nurse, MDS, Health Facility Administrator, therapist and reimbursement specialists with experience serving in multi-site contract therapy operations, as corporate directors of quality, clinical program specialists, and Compliance Officers. Proactive is uniquely positioned to assist in managing the many changes and challenges facing providers partnered with HTS. Learn more about our commitment to compliance here.

According to the CDC, more than 25% of all American adults sit more than 8 hours a day. In fact, adults spend more time sitting and being couch potatoes than sleeping. That number increases even more for older adults; statistics show that 75% of older adults are sedentary.

Sitting too much can be very harmful to your health. Numerous research studies show that the more you move and stop sitting, the longer you will live. Sitting too much increases your risk of obesity, diabetes, cancer and early death.

What Happens to Your Body When You Sit?

  • Electrical Activity in Leg Muscles Shuts Off
  • Calorie Burning Drops to 1 per Minute
  • Enzymes that Help Break Down Fat Drop by 90%
  • Good Cholesterol Drops by 20%
  • High Amounts of Stress are Placed on Your Lower Back and Neck


The World Health Organization suggests adults aged 65 years and above should do at least 150 minutes of moderate-intensity physical activity throughout the week. Regular physical activity of moderate intensity has significant benefits for health. At all ages, some physical activity is better than doing none. By becoming more active throughout the day in relatively simple ways, people can quite easily achieve the recommended activity levels. Walking is the easiest form of exercise for older adults and swimming is a good option as well.


Therapy Can Help Aging Adults Stay Active & Independent

Exercise is extremely important in managing many common symptoms of aging. Physical therapists evaluate your needs and teach you how to exercise appropriately for joint mobility, muscle strength and fitness. Occupational therapists help older adults to safely do the things they want to do, stay active and live well despite limitations. Therapy can help with pain associated with sitting too much, address postural issues, and create strategies to get you moving more and sitting less.

References: World Health Organization, CDC,

Byron Health Center Fights to End Alzheimer’s
Byron is a class act group who laughs in the face of mediocrity and never stops challenging the status quo. Be sure to follow them on Facebook and check out their gorgeous website as they recreate senior living at their new location coming soon! We are proud to be your partner in therapy and changing lives!

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