Southfield Village Therapy Team Celebrates a Successful Recovery!

Patient, Brenda, enjoyed therapy so much that she dressed up for her last day at Southfield Village.

Pictured left to right are Derek Gokee PT, Brenda, and Brian Kemp PTA.

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Everyone has heard the phrase “Stand Up Straight! Don’t Slouch!” Behind those long forgotten words lies a very valuable and surprisingly simple message: Good posture is important because it helps your body function at top speed. It promotes movement efficiency and endurance and contributes to an overall feeling of well-being.

Our bodies change as we age. If you have poor posture, your bones are not properly aligned, and your muscles, joint and ligaments take more strain than nature intended. These natural changes make it especially important for older adults to maintain good posture, strength, flexibility and balance. Good posture can decrease your risk of falls!

Poor Posture Can Cause:

  • Headaches & Fatigue
  • Back, Neck & Shoulder Pain
  • Breathing Problems

Tips for Maintaining Good Posture:

  1. Avoid staying in one position for long periods of time; inactivity causes muscle tension and weakness.
  2. Maintain a healthy weight; excess weight exerts a constant forward pull on the back muscles and weakens the abdomen.
  3. Sleep on a firm mattress and use a pillow under your head just big enough to maintain the normal cervical-neck-curve.
  4. Wear comfortable and well-supported shoes. Avoid high heeled or platform shoes, which distort the normal shape of the foot and throw the back’s natural curves out of alignment.
  5. Walk with good posture; keep head erect with chin parallel to the ground, allow arms to swing naturally, and keep feet pointed in the direction you are going.

For more exercise and posture tips, talk with your doctor about physical and occupational therapy. Therapy can help correct your bad posture and help alleviate chronic pain. No matter what age you are, every BODY will feel the benefits of better posture.

Update on CMS & MAC Claims Processing

Below is an update from AHCA on processing of Medicare claims under the Patient-Driven Payment Model. Please note particularly the part that suggests holding claims until Thursday, October 24.

On October 17th, CMS transmitted is quarterly update to all Medicare Administrative Contractors (MACs) as scheduled. CMS also indicated the MACs would need until October 24th to load, test, and launch the update.

Today, we have heard from several members about problems with claims submitted last Friday and yesterday. This likely is because the MACs require more time (e.g., until the targeted October 24th) to finish installation and testing.

Last evening, we informed CMS (both payment policy staff as well as MAC officers about the responses from MACs to-date (e.g., lower likely payments than billed). We will remain in contact with CMS in the coming days.

For now, we recommend holding submission of claims until October 24th – the date CMS indicated the MACs should be ready. On October 25th, COB, we will be in contact with membership about the result of claims submission. If problems persist, AHCA will escalate the issue quickly.

The final submission deadline for this quarter is November 14th, 2019. Only data successfully submitted by this time is used on the Nursing Home Compare website and in the five star rating calculations.

Tips:

  • Once information is uploaded, check your Final Validations Report which is accessed in the Certification and Survey Provider Enhanced Reporting (CASPER folder) to verify data was submitted successfully.
  • It may take up to 24 hours to receive the validation report.
  • QIES helpdesk is available for assistance help@qtso.com
  • Do not wait until just a few days before the deadline to submit PBJ data for the reasons above.

Click here to learn more.

According to the National Osteoporosis Foundation, one in two women and one in four men age 50 and older will suffer an osteoporosis-related fracture. Osteoporosis is a disease characterized by low bone mass and structural deterioration of bone tissue, leading to weak and brittle bones. Breaking a bone is serious, especially when you’re older and broken bones can cause severe pain.

How Can Therapy Help?

Physical therapy can help manage and prevent osteoporosis as well as reduce falls and injuries for those diagnosed with the disease. Based on a thorough assessment of your posture, balance, strength and flexibility, a physical therapist will work one-on-one with you to target your specific areas of weakness. Also, an occupational therapist will work with you to evaluate your lifestyle, home environment and activities of daily living to ensure you can safely do all the things that you want and need to do. Talk to your doctor about your fall risk and ask if physical or occupational therapy could help. Be sure to have your doctor or pharmacist to review you prescriptions regularly.

Therapy Goals for Preventing & Treating Osteoporosis:

  • Maintain or Increase Bone Mass Density Using Exercise
  • Improve Muscle Strength, Balance, Posture, and Cardiovascular Fitness
  • Improve Psychological Well-being
  • Prevent Fractures
  • Reduce Falls
  • Provide Education

For more information, please contact the therapy department.


References: National Osteoporosis Foundation

The Physical Therapy Team at Heritage Pointe Huntington Celebrates National Physical Therapy Month

We are certainly proud of our awesome Physical Therapy team at Heritage Pointe Huntington. One of the PT therapy students made these shirts for the therapists. How great is that?!

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On October 23, 2019, a new consumer alert icon will be present on the Nursing Home Compare website next to facilities that have had:

  1. Abuse that led to harm of a resident within the past year; and/or

  2. Abuse that could have potentially led to harm of a resident in each of the last two years.

The icon and CMS inspection results will be updated monthly. This is a welcome change when compared to the quarterly updates the site was receiving. Seema Verma, CMS Administrator, stated the information is “for incentivizing nursing homes to compete on cost and quality.”

In April 2019, CMS announced its plan for more transparency which will be done through a five-part approach to maximize safety and quality in nursing homes. The initiative emphasizes five pillars:

  • Strengthening Oversight
  • Enhancing Enforcement
  • Increasing Transparency
  • Improving Quality
  • Putting Patients over Paperwork

Click here to read more about this five-part approach.

CMS announced the MDS 3.0 RAI Manual v1.17.1 which will take effect on October 1, 2019 is now available. 
This version of the RAI manual provides clarification to existing coding and transmission policy.

Click here to download the manual.

Exclusive PDPM Training For HTS Partners

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.”

Moving From RUG-IV to PDPM:  The Transitional IPA

Wednesday, September 25, 10:00 a.m. – 11:00 a.m.

Join us for the 1st High Impact PDPM Workshop where we will review how to successfully navigate the upcoming transition from RUG-IV to PDPM. This webinar will focus on completion of the required transitional Interim Payment Assessment (IPA) for current Medicare Part A beneficiaries including gathering quality assessment data and considerations for ARD scheduling.

Presented by: Eleisha Wilkes, RN, RAC-CT

 

PDPM Billing Processes

Wednesday, October 23, 10:00 a.m. – 11:00 a.m.

The importance of billing accuracy becomes more important than ever under the PDPM (Patient-Driven Payment Model) effective October 1, 2019. This session will focus on tools and strategies to establish a robust Triple Check process that providers cannot afford to overlook.

Presented by: Stacy Baker, OTR/L, CHC, RAC-CT

 

Please contact us to register. Not a partner? Contact us to learn how we’re providing even more value to our partners.

Have you recently experienced a fall? If so, you are not alone. Each year, one in three adults 65+ experience a fall that requires medical attention. Falls can lead to hip fractures and other serious injuries. Falls are not a normal part of aging and most falls can be prevented.

Outdoor Hazards & Safety

▶ Use a walker or cane for added stability.
▶ Wear warms boots with rubber soles for added traction.
▶ If sidewalks look slippery, walk on the grass for better traction.
▶ Carry a small bag of rock salt or kosher salt and sprinkle on slick surfaces.
▶ Beware of highly polished marble or tile floor surfaces in public buildings. Stay on carpet runners whenever possible.
▶ Allow for extra commute time to ensure safe travel.

Home Safety Tips

▶ Keep all rooms free from clutter, especially on the floors.
▶ Wear supportive, low-heeled shoes even at home.
▶ Remove rugs or use double-sided tape to secure rugs so they won’t slip.
▶ Put a non-slip rubber mat or self-stick strips on the floor of the shower or tub.
▶ Install easy-to-reach grab bars in the bathroom.
▶ Use a shower chair or transfer bench.
▶ Place a lamp close to the bed where it’s easy to reach.

How Can Physical & Occupational Therapy Help?

Maintaining proper balance and sense of body position is critical to preventing falls. A physical therapist can help you prevent falls by designing an individualized program of exercises and activities with an emphasis on strength, flexibility, and proper gait. Occupational therapists can review your home environment for hazards and assess any individual limitations. By identifying these factors that contribute to falls, the occupational therapist can recommend strategies to safely perform daily tasks, modify the home environment, and change activity patterns and behaviors.

Talk to your doctor about your fall risk and ask if physical or occupational therapy could help. Be sure to have your doctor or pharmacist to review you prescriptions regularly.