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Displaying records 1 to 20 out of 3380 results for "Documentation for therapy".
( Page 1 of 169 )
SORT RESULTS BY: RELEVANCY | PUBLICATION DATE
In the PPS, there has been a big problem with coverage of occupational therapy after a single vis
Q: Can a single physical therapy visit determine a need for occupational therapy that is cov
 Therapy
You ask the following question: Is it legal for the outpatient therapy agency to provide services
The following is an excerpt from therapy-h
CMS Publication 100-2, Chapter 7, speaks to two types of therapy: restorative therapy geared towa
Regardless of the clinical background of those responsible for reviewing documentation, it can be
Endurance has become a dirty word in therapy circles based on the belief that its use will trigge
A question on maintenance therapy: The patient does not have a willing and able caregiver
Is it true that the following documentation is an improper certification statement on our
Q: In regard to clients requiring 30-day reassessments for therapy, if a client has the init
Yes another SNF, another therapy contract and more fraud settlements.  The only thing
APRIL 10, 2015
LONG-TERM CARE DEPARTMENT
Occupational therapy cannot qualify a patient for coverage initially, but after the patient has h
The following is an excerpt from The Post-Acute Care Guide to Maintenance Therapy by Diana L. Kor
Click the PDF icon above to download. Therapy Staff Competency Checkl
  OIG report emphasizes need for improvement for billing for changes in therapy
AUGUST 14, 2015
LONG-TERM CARE DEPARTMENT
  Should gait be included in the occupational therapy assessment?
  Overpayments tied to therapy billing attract more federal scrutiny of SNFs
DECEMBER 4, 2015
LONG-TERM CARE DEPARTMENT
  With the release of therapy utilization data, SNFs must prioritize individualized care
  Confused? G-Coding in a SNF: Functional Therapy
OCTOBER 21, 2016
LONG-TERM CARE DEPARTMENT
  Defining maintenance therapy: A proactive approach to quality care
  Part B Outpatient Therapy Q&A
  Part B Therapy Billing: Functional reporting and G-codes webcast
OCTOBER 13, 2017
LONG-TERM CARE DEPARTMENT
  Scrutinizing Medicare coverage for physical, occupational and speech therapy
APRIL 13, 2018
LONG-TERM CARE DEPARTMENT
Documenting medical necessity has become a big topic over the last several years and there has be
MARCH 22, 2019
LONG-TERM CARE DEPARTMENT
Lymphedema therapy is an extensive treatment involving a combination of manual decongestive thera
A new study published January 1, 2016 in the journal Physical Therapy found that an additional h
JANUARY 8, 2016
LONG-TERM CARE DEPARTMENT
CMS recognizes the massive number of ultra-high therapy claims submitted by SNFs over the years
DECEMBER 9, 2016
LONG-TERM CARE DEPARTMENT
by: Josh Poltilove Conduct a quality audit of documentation your therapists submi
SNF therapy contracts: Your risks and what you need to know Q&A
AUGUST 1, 2015
LONG-TERM CARE DEPARTMENT
Q: What day should a new admit to a SNF begin the skilled therapy that is ordered by physi
MARCH 14, 2014
LONG-TERM CARE DEPARTMENT
No. The regulations do not mandate any particular form or format for documentation or confirmati
Hyperbaric oxygen (HBO) therapy is used to treat a variety of conditions, including wound care. H
APRIL 2, 2014
JUSTCODING
  SNF therapy contracts: Your risks and what you need to know Q&A
  Top problems SNFs encounter when billing for Part B outpatient therapy units
DECEMBER 4, 2015
LONG-TERM CARE DEPARTMENT
  Manual medical reviews for therapy shift to a targeted approach, but questions remain
APRIL 15, 2016
LONG-TERM CARE DEPARTMENT
  Two-year budget deal repeals therapy caps, cuts skilled nursing spending by $1.96 billion
FEBRUARY 14, 2018
LONG-TERM CARE DEPARTMENT
  CMS published additional instructions for processing updated Part B therapy claims
MARCH 30, 2018
LONG-TERM CARE DEPARTMENT
Because this is therapy that an agency would provide if the equipment were available, the same co
SNF therapy contracts: Your risks and what you need to know
In your plan of care, include any diagnoses that support therapy services or explain the need for
Q: In terms of coding blood transfusions, does the documentation of which intravenous (IV) s
NOVEMBER 18, 2015
JUSTCODING
In recent years, hospitals have increasingly focused on creating clinical documentation improveme
As with ADLs, specificity and relevance are key components to a thorough occupational therapy ass
NOVEMBER 20, 2013
JUSTCODING
Documentation will be important to support supply utilization and payment. Claims
Q: Is there a new way to report MIST Therapy® in 2014?&
Although burnout and stress are well-documented phenomena in healthcare, few interventions have b
OCTOBER 15, 2015
MEDICAL STAFF DEPARTMENT
Documentation Documentation
by Megan Pielmeier Avoid significantly changing therapy utilization as soon as t
Q: What are the new therapy reassessment requirements that CMS solidified in its
This therapy M item should be reviewed once all initial orders have been received by the agency f
From the State Operations Manual: The regulation requires at G161 that orders for therapy
Q: Our MAC is reviewing our pulmonary rehabilitation and physician therapy (PT) and occ
  Documentation standards
JANUARY 1, 2015
LONG-TERM CARE DEPARTMENT
Demand for alternative therapies is on the rise, and while some practitioners remain skeptical,
Q: Should I query for chronic respiratory failure if the documentation indicates the patient
MARCH 26, 2014
JUSTCODING
By James S. Kennedy, MD, CCS, CDIP The physician documented “encephalopathy&
MARCH 25, 2015
JUSTCODING
Any discussion of therapy goals raises questions about the model that should be used. There is de
  Documentation terminology that will not support the Medicare claim
If therapy completes an evaluation after the nurse does the start of care and the therapy
  When a provider fails to document whether a patient diagnosed with monoplegia ha
MAY 13, 2015
JUSTCODING
The Joint Commission announced revisions to its anticoagulant therapy National Patient Safety Goa
DECEMBER 27, 2018
NURSING DEPARTMENT
AM0110, Episode Timing, and M2200, Therapy Need, apply when the assessment will determine the pat
When you have a patient that is therapy only (PT and OT) and the RN performs a NBO visit
  Q&A: Documentation for body mass index
  Skilled Services: How to document for proper reimbursement
OCTOBER 9, 2015
LONG-TERM CARE DEPARTMENT
  A tool for your CNAs to help with accurate ADL documentation
  CMS issues guidance for handling insufficient documentation, ADRs
  Key documentation criteria for supporting the Medicare claim
SEPTEMBER 21, 2018
LONG-TERM CARE DEPARTMENT
  Featured member resource: ADR appeal documentation checklist
NOVEMBER 16, 2018
LONG-TERM CARE DEPARTMENT
What are two indications for the use of anticoagulant therapy?  
APRIL 8, 2014
ACCREDITATION DEPARTMENT
Therapy visits have a direct impact on the first (grouping step) and fourth (services utilization
Therapy visits have a direct impact on the first (grouping step) and fourth (services utilization
Documentation of terminal illness at admission and during the hospice service period must be deta
Documentation of terminal illness at admission and during the hospice service period must be det
On April 10, 2020, CMS issued a proposed ruledocuments/2
To accurately interpret and code physician documentation, the HIM department should employ
JUNE 4, 2014
JUSTCODING
Can the plan of care serve as a way to document medications?  
By Megan Batty Ensure that medical record documenta-tion clearly documents a canc
In addition to documentation by physicians, nurses’ documentation affects patient safety,
JANUARY 8, 2020
NURSING DEPARTMENT
What documentation is necessary for a medication review? The regulation
 Documentation
Using a streamlined approach to EHR documentation may help reduce stress for resident, according
AUGUST 7, 2015
RESIDENCY DEPARTMENT
Residents are a little-utilized but critical link in the documentation chain that drives hospital
JULY 7, 2017
RESIDENCY DEPARTMENT
APRIL 2, 2014
JUSTCODING
JUNE 25, 2014
JUSTCODING
Because there will be no adjustments in the HHRG after the RAP is sent, the reporting of therapy
PNs - along with occupational and physical therapy assistants - aren?t qualified to establish the Me
Effective documentation of the condition and the patients’ co-morbidities may help lawyers
In December 2014, CMS posted a document on its Advisory Panel on Hospital Outpatient Payme
Residents are a little-utilized but critical link in the documentation chain that drives
JULY 14, 2017
RESIDENCY DEPARTMENT
Incomplete documentation in patient clinical records can cause your organization legal and settle
SEPTEMBER 18, 2019
NURSING DEPARTMENT
Physicians who provide E/M services must document the necessary clinical information to support t
Medical staffs across the country are discovering their governance documents are inadequate for t
  A Comprehensive Error Rate Testing (CERT) study found insufficient documentation
JULY 22, 2015
JUSTCODING
Examples of more detailed interventions for occupational therapies are as follows. A single state
Now in its second edition, documentation-improv
APRIL 9, 2014
JUSTCODING
Now in its second edition, documentation-improv
JUNE 4, 2014
JUSTCODING
Now in its second edition, documentation-improv
AUGUST 13, 2014
JUSTCODING
Become more proactive. You no longer can wait for face-to-face documentation to arrive within sev
 Although documentation matters more and more in today?s world of ever-changing regulations, med
AUGUST 4, 2017
RESIDENCY DEPARTMENT
Agencies need to begin now to ensure that they are getting valid face-to-face documentation with the
The Joint Commission (TJC) announced revisions to its anticoagulant therapy National Patient Safe
FEBRUARY 1, 2019
ACCREDITATION DEPARTMENT
Q: I’m in a little debate: Does documentation of the patient’s body mass in
MAY 7, 2014
JUSTCODING
Q: Can you code strictly from emergency room (ER) documentation? Can you code from test re
  Why are physician queries so critical to accurate documentation and coding? The an
  An intensive therapy regimen involving medication, diet and behavioral changes s
OCTOBER 3, 2014
LONG-TERM CARE DEPARTMENT
Providers don’t often receive education on clinical documentation, which can be a challenge
With the transition to ICD-10, some documentation issues have required the capture of new inform
With the transition to ICD-10, some documentation issues have required the capture of new informa
In a recent frequently asked questions (FAQ) document released by the Centers for Medicare &
Q&A: Managing LS, EC, and EM documentation Editor
DECEMBER 20, 2016
ACCREDITATION DEPARTMENT
Q: Can you code strictly from emergency department (ED) documentation? Can you code from tes
DECEMBER 16, 2015
JUSTCODING
Correct, complete documentation is the foundation of a sound medical record and compliant reimbu
JUNE 15, 2018
RESIDENCY DEPARTMENT
The Joint Commission (TJC) announced revisions to its anticoagulant therapy National Patient Safe
DECEMBER 18, 2018
ACCREDITATION DEPARTMENT
We all know that ICD-10 codes will require more complete documentation. We’ve been t
An outpatient clinical documentation improvement (CDI) program should be aligned with a fa
Proper documentation is critical when it comes to supporting medical necessity and providing qual
Q: What are some tips when evaluating our documentation system?
What should our clinicians document if the patient hasn't had the flu vaccine yet? The pa
There has been a fair amount of coverage on the documentation requirements needed to assign ICD-1
The focus for clinical documentation improvement (CDI) specialists has historically been on the i
FEBRUARY 21, 2017
PHYSICIAN PRACTICE DEPARTMENT
by Kirsten Dize Make completing documentation in the home a requirement for all
  Medical staffs are discovering their governance documents are inadequate for tod
SEPTEMBER 18, 2014
MEDICAL STAFF DEPARTMENT
ICD-10-CM simplifies coding for sepsis provided the physician completely and accurately documents
NOVEMBER 18, 2015
JUSTCODING
Insufficient documentation led to approximately 97% of improper payments for kyphoplasty a
JULY 23, 2014
JUSTCODING
Q: If the physician documents “concerning for,” “considering,” “
AUGUST 12, 2015
JUSTCODING
Take a close look at the documentation guidelines that CMS suggests for the practice improvement
by Kirsten Dize Strong documentation is key in home health, and implementation o
Q: Our physicians document a diagnoses of pneumonia but do not normally make a specific
APRIL 9, 2014
JUSTCODING
Measure a wound from inside edge to inside edge to correctly document wound size, and ensure that
NOVEMBER 20, 2013
JUSTCODING
We have been told that the following documentation would position us for a potential clai
Clinical documentation improvement (CDI) programs need to expand their focus beyond CC/MCC capt
DECEMBER 2, 2015
JUSTCODING
What pitfalls can you avoid to ensure proper documentation? These are eight common mistakes made:
JANUARY 28, 2020
NURSING DEPARTMENT
By utilizing the information documented in the record, coders can report the BMI from a dietitian
The documentation surrounding your QAPI program should include:  
MAY 21, 2014
JUSTCODING
Q: Is the statement “please document in a progress note to capture the severity of i
Clinical documentation is often overlooked during residency, yet without proper training, new ph
SEPTEMBER 9, 2016
RESIDENCY DEPARTMENT
DocumentSettings>
New EP: Avoid RFIs by keeping documents and service manuals in library “If it was
JANUARY 1, 2018
SAFETY DEPARTMENT
New EP: Avoid RFIs by keeping documents and service manuals in library “If it was
DECEMBER 1, 2017
ACCREDITATION DEPARTMENT
Documentation: Getting the details right Joint Commission eli
DECEMBER 6, 2016
ACCREDITATION DEPARTMENT
The electronic document management system (EDMS) plays a role in designing the official legal h
Clinical documentation improvement (CDI) specialists and case managers share a common goal but of
Nurses new to home health struggle with the completion of documentation related to patient care.
CMS doesn't require Medicare Advantage plans to have a face-to-face document for home health. Bu
Q: Can you clarify the expectations related to documenting the discussion betwee
OCTOBER 8, 2014
JUSTCODING
APRIL 23, 2014
JUSTCODING
It’s an age-old question: How do you get physicians to support documentation improvement ef
Correct, complete documentation is the foundation of a sound medical record and compliant reimbur
JUNE 15, 2018
RESIDENCY DEPARTMENT
Intensive behavioral therapy for obesity, screening digital tomosynthesis mammography,
Documentation example for coders in
OCTOBER 29, 2014
JUSTCODING
Even before ICD-10-CM was delayed until October 1, 2015, the quality of physician document
  Q: Is it okay to code a diagnosis if the physician documents two diagnoses usin
SEPTEMBER 24, 2014
JUSTCODING
Documentation example in
MARCH 4, 2015
JUSTCODING
The Certified Clinical Documentation Specialist (CCDS) exam hit a pretty big milestone last weeke
If you feel pretty confident as an agency that your documentation can pass muster and the totalit
ACDIS, the Association of Clinical Documentation Impro
APRIL 7, 2011
MARCH 11, 2015
JUSTCODING
JULY 22, 2015
JUSTCODING
"[A]s we enter into clinical practice, physicians face the burdens of documentation and reg
SEPTEMBER 17, 2015
MEDICAL STAFF DEPARTMENT
In the early days of clinical documentation improvement programs many staff members reported up t
Q: Can you tell me whether there is a resource that lists documents and required retentio
The patient care plan (485) is not a stand-alone documentation system; it is the legal record of
Residency training typically serves as physicians’ first exposure to the clinical document
AUGUST 11, 2017
RESIDENCY DEPARTMENT
Finding effective ways to continuously remind physicians of documentation improvement methods can
Focus on documentation. CMS believes it is the responsibility of the homecare provider to attempt
The Association of Clinical Documentation Improvement Specialists (ACDIS), the nation’s onl
JANUARY 19, 2016
The Association of Clinical Documentation Improvement Specialists (ACDIS), the premier healthcar
SEPTEMBER 10, 2012
A patient comes into the ED following an automobile accident. The physician documents that the pa
Even before ICD-10-CM was delayed until October 1, 2015, the quality of physician document
SEPTEMBER 3, 2014
JUSTCODING
SEPTEMBER 3, 2014
JUSTCODING
Clinical documentation improvement (CDI) programs need to expand their focus beyond CC/MCC captur
I am searching for clear, legitimate, documented guidance regarding coding for a verbal o
by: Kirsten Dize CMS’ revised OASIS Q&A document offers welcome insight
APRIL 9, 2014
JUSTCODING
A patient presents to the ED with a headache, nausea, and vomiting. The physician documented that
FEBRUARY 25, 2015
JUSTCODING
OCTOBER 8, 2014
JUSTCODING
The Association of Clinical Documentation Improvement Specialists (ACDIS) released a new position
NOVEMBER 5, 2014
The first Clinical Documentation Improvement Week is taking place from September
SEPTEMBER 21, 2011
ACDIS, the Association of Clinical Documentation Improvement Specialists, the leading national as
FEBRUARY 8, 2011
Although documentation matters more and more in today’s world of ever-changing regulations,
AUGUST 4, 2017
RESIDENCY DEPARTMENT
Q: Is it okay to code a diagnosis if the physician documents two diagnoses using
ACDIS is proud to celebrate the 3,000th Certified Clinical Documentation Specialist (CCDS) creden
Q: When physicians continue to only document respiratory failure in the inpatien
JUNE 4, 2014
JUSTCODING
NOVEMBER 20, 2013
JUSTCODING
The Medicare Payment Advisory Commission's documents/Mar14Entire
MARCH 21, 2014
LONG-TERM CARE DEPARTMENT
In the budget document released by the Office of Management and Budget, the White House's propose
Friday, April 11 is the deadline to apply for the Certified Clinical Documentation Specia
AUGUST 12, 2015
JUSTCODING
AUGUST 26, 2015
JUSTCODING
Q: I have seen documentation of oliguric renal failure and non-oliguric renal failure. What is th
OCTOBER 21, 2015
JUSTCODING
OCTOBER 14, 2015
JUSTCODING
Q: I have seen documentation of oliguric renal failure and non-oliguric renal failure. Wha
 It will depend a lot on documentation. This may be something to query. For example, even if
The Association of Clinical Documentation Improvement Specialists (ACDIS) last week updated its
OCTOBER 13, 2015
HCPro, Inc. and the Association of Clinical Documentation Improvem
Does your hospital have a clinical documentation improvement (CDI) program (i.e., a department, s
APRIL 23, 2014
JUSTCODING
Does your hospital have a clinical documentation improvement (CDI) program (i.e., a department, s
APRIL 30, 2014
JUSTCODING
MAY 14, 2014
JUSTCODING
New on JustCoding Platinum! New ICD-10-CM documentation examples in
JULY 9, 2014
JUSTCODING
Every provider has basic information he or she must document in the health record, says Lisa Ging
Take an in-depth look at coding, documentation, and querying for acute kidney injury (AKI). Durin
APRIL 8, 2015
JUSTCODING
Take an in-depth look at coding, documentation, and querying for acute kidney injury (AKI). Durin
MARCH 25, 2015
JUSTCODING
FEBRUARY 11, 2015
JUSTCODING
Incidents reports are a pain to fill out, but vital for documenting what happened and for pro
SEPTEMBER 3, 2015
NURSING DEPARTMENT
Advancements in electronic health records (EHR) have improved nursing documentation and patient s
JANUARY 26, 2017
NURSING DEPARTMENT
The proof of medical necessity strictly relies on the MD documentation and diagnosis and the skil
Many questions have swirled around the issue of medical necessity and how to document it appropri
DECEMBER 1, 2015
CASE MANAGEMENT DEPARTMENT
HCPro, Inc., and ACDIS, the Association of Clinical Documentation Improvement Specialists, today
JUNE 15, 2011
by Tami Swartz Thoroughly examine clinicians’ documentation &mdash
MAY 6, 2015
JUSTCODING
OCTOBER 22, 2014
JUSTCODING
Q: The primary physician documented subacute cerebral infarction and I am wondering whe
NOVEMBER 5, 2014
JUSTCODING
I’m always excited to read an article about clinical documentation improvement in the mains
A proposed CMS change to the 2017 Medicare Physician Fee Schedule will require surgeons document
SEPTEMBER 13, 2016
ACCREDITATION DEPARTMENT
MARCH 19, 2014
JUSTCODING
ACDIS is preparing to draft its third incarnation of the popular The Physician Documentation I
APRIL 23, 2014
JUSTCODING
APRIL 30, 2014
JUSTCODING
MAY 7, 2014
JUSTCODING
JUNE 11, 2014
JUSTCODING
Knowing the bones of the feet, and ensuring they're being properly documented by providers
JULY 30, 2014
JUSTCODING
AUGUST 6, 2014
JUSTCODING
AUGUST 20, 2014
JUSTCODING
AUGUST 27, 2014
JUSTCODING