I often get the opportunity to listen to the workflows and ‘ideal’ aspirations of those that chart on a daily basis in healthcare because of my position at MediServe. I get to work alongside innovation driven individuals moving to the next step of rehabilitation documentation. Everyone has some skin in the game and each discipline has very specific expectations. After…
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I’ve always felt that inpatient rehabilitation, with its specialty dedication to fairly focused results in meeting discharge demands for complex patients to return to the community, was a no-brained clear winner for all patients with functional impairment. A level of care so special that it would always have its place in healthcare and would be revered in the line of…
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Let’s reminisce on a few facts from the Final Rule 1538F published in 2009 covering 2010 IRF fiscal year guidelines. These bullets will ring a bell, but did you consider the impact of all these statements combined? If not, let’s do so now! It’s a realization that caught me off guard but certainly brings new light to medical necessity/medically reasonable IRF…
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In the post-acute care venue, there is much debate on exactly what is the correct level of care required to get the patient back to their home setting. “Medical necessity is a United States legal doctrine, related to activities which may be justified as reasonable, necessary, and/or appropriate, based on evidenced-based clinical standards of care,” per Wikipedia definition. Medicare’s definition is the same;…
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If your Fiscal Intermediary, Carrier or Medicare Administrative Contractor is National Government Services (NGS) this post is for you! The 98 page Local Coverage Determination (LCD) should guide documentation standards to align with expected “reasonable and necessary” information to support your billing codes and was updated in February, 2011. LCDs come in all shapes and sizes for every type of…
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