Therapy Services

OUR SERVICES

PDPM

ENERGIZING PDPM Response

 

pdpm
In July 2018, CMS finalized a new case mix classification model, the Patient Driven Payment Model (PDPM), that, effective beginning October 1, 2019 will be used under the skilled nursing facility (SNF) prospective payment system (PPS) for classifying SNF Patients in a covered part A stay.
This new payment model focuses on resident clinical characteristics rather than value based services provided to determine the medicare payment and replaces the current RUG system that has been in effect for over 20 years.

ADL CODING ANALYSIS

Inaccurate daily ADL coding/Under-coding can impact Medicare Rehab RUG levels by as much as $90/day or more in the same RUG category leading to a significant and sizable annual facility loss. 

Our exclusive ADL program partners the therapy “ADL experts” with facility MDS and nursing staff for capture of accurate coding/reflection of patient care for optimal facility reimbursement.

NRG Director of Rehab and Therapy Team thoroughly trained in the areas where they have the most expertise and potential impact:

  • The Four Late Loss ADL

  • Restorative

  • Quality Measures

  • Corresponding Impact on Case-Mix Reimbursement

ADL coding analysis

Our exclusive ADL program results in improved facility reimbursement without increased labor cost. 

CONTACT US TODAY TO LEARN MORE

COMPLIANCE AND CLINICAL SERVICES

Upon hire, annually, and during scheduled/non-scheduled in-services, all NRG employees undergo orientation trainings, included but not limited to HIPPA, abuse and neglect, survey preparedness, code of ethics, and policies regarding federal and state healthcare programs.

The NRG Management Team maintains a culture of clinical excellence and compliance through:
  • RAC-CT and Credentialed Compliance Team
  • Medical Review and Claims Management Services
  • Regular Documentation Audits
  • Maintenance Protocols to Track Therapy OBRA Compliance and State Survey Preparedness at the Facility Level
  • Monthly On-Site Facility Audits and Detailed Reporting
  • Mock Survey Program for Therapy
  • Clinical Education through Facility In-Services, Webinars, and Lunch-n-Learns

OUR PROGRAMS

Fall Prevention

ADL coding

Wheelchair Workshops

MDS/RAC CT Certified DOR

CHF and COPD Rehabilitation Management Programs
Dementia Management

Quality Measures
Response

Restraint
Reduction

Tai Chi, Pilates,
Yoga and other
community and facility
wellness offerings
Restorative Nursing

Contracture Management

Seating and Positioning

Urinary Incontinence

Clinical Pathways
for PDPM