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SNF/NF REVALIDATION DEADLINE DELAYED
April 17th, 2025
The Centers for Medicare & Medicaid Services (CMS) has delayed their mandatory provider revalidation reporting for nursing homes until August 1, 2025: 2025-04-17-MLNC | CMS.
2024 LEADERSHIP TRAINING CONFERENCE
November 25th, 2024
2024 LEADERSHIP TRAINING CONFERENCE
Preferred Therapy Solutions is proud to work with exceptional employees. Our teams are committed to improving patients' lives and finding innovative solutions...1 minute readPosted in: News
September is National Rehabilitation Awareness
September 24th, 2024
During the third week of September, the American Medical Rehabilitation Providers Association (AMRPA) celebrates National Rehabilitation Awareness Week, with this year's theme addressing #PowerOfMedicalRehab. Preferred Therapy Solutions is proud to raise awareness of the benefits of rehabilitation
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Preferred Therapy Solutions Employees Receive Vermont Health Care Association Awards
July 3rd, 2024
June has proven to be a month to remember for a couple of Preferred Therapy Solutions employees. On June 13th, the Vermont Health Care Association (VHCA) presented its highest recognition awards to two team members of our Preferred Therapy Solutions family. To say we are incredibly proud is truly an understatement; we are “Over-the-Moon” full of pride. On behalf of the entire Preferred Therapy Solutions team, we want to take this moment for a congratulatory standing ovation and a huge round of applause to Kristi Nicholson, Speech Language Pathologist, on receiving “Rehabilitation Manager of the Year,” and to Jennifer Clark, “Physical Therapy Assistant of the Year.” Both of you are exemplary employees.
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Targeted Probe & Educate (TPE) AUDITS Where are we now?
June 7th, 2024
Targeted Probe & Educate (TPE) AUDITS Where are we now?
By: Barbara Blatt, PT
Director of Compliance and Appeals ManagementIn 2017, CMS announced expanding its Targeted Probe and Educate (TPE) program to include all Medicare Administrative Contractor (MAC) jurisdictions. This expansion aimed to identify potential Medicare fraud and improper payments. The focus was on claims with the highest financial risk to the Medicare fund and on providers with the highest claim error rates and irregular billing practices when compared to their peers. The TPE claim selection process was provider-specific, using data mining from Medicare claims.
Click HERE to view the complete article.Celebrate Speech-Language-Hearing Month
June 6th, 2024
May is National Speech-Language-Hearing Month and at Preferred Therapy Solutions we celebrate and applaud our Speech Therapists for their dedication to helping those with communication and swallowing disorders! #celebratespeechtherapist #nationalspeechlanguagehearingmonth #itsallaboutthepeople. W...1 minute read
Kepro Rebranding: Kepro is becoming Acentra Health
April 24th, 2024
Kepro, the Medicare Quality Improvement Organization (QIO) responsible for Skilled Nursing Facility (SNF) termination appeals is rebranding. Kepro will soon be known as ACENTRA HEALTH. The target date for the rebrand “go live” is August 1, 2024.
1 minute readCMS ISSUES FINAL RULE
April 11th, 2024
WHAT YOU NEED TO KNOW
On April 4, 2024, CMS announced that Medicare Advantage (MA) appeals will parallel the same review process as traditional Medicare allowing MA plan enrollees to have access to the fast-track appeals process now.
Key elements include: Independent Review
1 minute readCMS Releases FY 2025 Proposed Rule
April 2nd, 2024
CMS Releases FY 2025 Proposed Rule: SNFs In Line to Receive 4.1% Reimbursement Increase
WHAT YOU NEED TO KNOW
On March 28th CMS issued Fiscal Year 2025 Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities proposed rule. This proposal contains many areas of importance and significance for SNF providers specifically as it relates to payment, quality, civil monetary penalties, and more. Key elements of the proposed rule include:
1 minute readPosted in: Compliance, News
MDS Section G -GG Transition and the Impact on Quality Measures
February 29th, 2024
MDS Section G -GG Transition and the Impact on Quality Measures THIS SESSION IS NAB APPROVED #20250326-1-A100638-DL With t...1 minute readPosted in: NewsAETNA TO IMPLEMENT PTA & COTA REDUCTION
February 28th, 2024
AETNA TO IMPLEMENT PHYSICAL THERAPY ASSISTANT (PTA) AND CERTIFIED OCCUPATIONAL THERAPY ASSISTANT (COTA) REDUCTION EFFECTIVE MARCH 1, 2024: Aetna has announced they will implement a payment reduction when outpatient therapy services are provided in whole or in part by a physical therapy...1 minute readPosted in: Compliance, News
Celebration-Time-Come On! It’s a Celebration: Using Telehealth Services in the SNF - “Value of PT”
October 17th, 2023
The benefits this profession has provided are life-transformative. As we consider the invaluable role of
physical therapists, physical therapy assistants, and students that provide rehabilitative therapeutic care,
across various settings from Skilled Nursing Facilities (SNFs) to Outpatient and Wellness Centers, we must recognize and celebrate the use of telehealth services.1 minute readSolutions Syllabus Oct. & Nov. Sessions
September 27th, 2023
SOLUTIONS SYLLABUS FALL SESSIONS - REGISTER NOW
Participants will learn care planning, policy and procedures, and process improvement ideas to minimize risk during the Health Inspection process and improve the quality of care in the facility.1 minute readCMS Releases FY 2024 Final Rule: SNFs In Line to Receive 4.0% Reimbursement Increase
August 1st, 2023
BACKGROUND The Centers for Medicare and Medicaid Services (CMS) are required to update the Medicare payment rates and quality programs on an annual basis. Prior to August 1 each year, CMS is required to publish the final rule for the upcoming fiscal year (FY).
WHAT YOU NEED TO KNOW: On July 31st, CMS issued the final rule CMS-1779-F for FY 2024. This final rule contains many areas of importance and significance for SNF providers specifically as it relates to payment, quality, PDPM, and more. Preferred Therapy Solutions is thoroughly reviewing the final rule and has planned an in-depth webinar for August 15th.
Key elements of the proposed rule include
2 minute read
Solutions Syllabus Summer Webinar Series
June 20th, 2023
Preferred Therapy Solutions’ Summer 2023 Solutions Syllabus webinar series is here. These sessions will provide extensive principles and evidence-based practices for clinical teams on the basics of the Critical Element (CE) Pathways and its utilization in the Health Inspection (HI) Process. Attendees will gain insight into the in-depth examination of the Critical Elements including care planning, policy and procedures, and process improvements to minimize risk during the Health Inspection process.
1 minute readPosted in: News
Noise, Noise, Everywhere...Can You Hear It?
May 22nd, 2023
It is a noisy world. There is so much hustle and bustle around us, do we just tune it out, or can we even hear it? We do not realize that so many people struggle with hearing loss, specifically the elderly population. In fact, recent studies estimate nearly 63% of people over the age of 70 with 80% of those over the age of 80 in the United States experiencing some hearing loss. We know that the incidence of hearing loss increases with age and as our population continues to age, the prevalence of hearing loss is also expected to rise. Hearing loss in the elderly is due to presbycusis or Age-Related Hearing Loss but may also be a result of noise damage and cerumen impaction as the more common reasons.(view the complete article here)
1 minute readCMS: SNF 5-CLAIM PROBE & EDUCATE REVIEW
May 9th, 2023
CMS: SNF 5-CLAIM PROBE & EDUCATE REVIEW
Attention: Implementation date - June 5, 2023
In an attempt to increase comprehension of correct billing practices under PDPM by all SNF providers that bill Medicare, and to prevent future improper payments, CMS is implementing a 5-claim Probe and Educate Medical Review Strategy1 minute readPosted in: Compliance, NewsCMS- PART B ABN Form R-131 RENEWAL
April 18th, 2023
The Advance Beneficiary Notice of Non-Coverage (ABN) Form CMS-R-131, and its instructions have been approved by the federal Office of Management and Budget (OMB) for renewal.
1 minute readPosted in: Compliance, News
Social Determinants of Health: LEVERAGING OCCUPATIONAL THERAPY TO ASSIST IN REDUCING HEALTH DISPARITIES
April 17th, 2023
Professionals in the skilled nursing arena are familiar with the Minimum Data Set or MDS. The MDS is a standardized assessment tool used to gather information about residents’ health status and needs. In 2023, we will see the MDS’s revision include
adding new social determinants of health (SDOH) to specifically have questions around ethnicity, race, language, transportation, health literacy, and social isolation1 minute readCMS Releases FY 2024 Proposed Rule: SNF’s In Line to Receive 3.7% Reimbursement Increase
April 5th, 2023
BACKGROUND
The Centers for Medicare and Medicaid Services (CMS) are required to update the Medicare payment rates and quality programs on an annual basis. Each April, CMS publishes a proposed rule for the upcoming fiscal year (FY) and opens a comment period for stakeholders to review and provide comments to CMS before releasing the final rule.
What you need to know
On April 4th CMS issued the proposed rule CMS-1779-P for FY 2024. This proposed rule contains many areas of importance and significance for SNF providers specifically as it relates to payment, quality, staffing, and more.
Preferred Therapy Solutions is thoroughly reviewing the proposed rule and has planned an in-depth webinar for April 19th.
Key elements of the proposed rule include:
2 minute readCMS Posts Draft MDS 3.0 RAI Manual Version SNF Transition to iQIES Starting Soon
April 4th, 2023
CMS Posts Draft MDS 3.0 RAI Manual Version SNF Transition to iQIES Starting Soon
WHAT YOU NEED TO KNOW
The Centers for Medicare & Medicaid Services (CMS) has posted the draft Minimum Data Set 3.0 (MDS 3.0) Resident Assessment Instrument (RAI) User’s Manual Version 1.18.11. The MDS 3.0 RAI User’s Manual v1.18.11 will take effect on October 1, 2023. CMS notes that this version of the RAI contains "substantial revisions related to the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act), which requires that standardized assessment items be collected across post-acute care
(PAC) settings."1 minute read
Contract Therapy vs. In-house Therapy: When to Stay in Your Lane or is it Time to Shift Course!
March 20th, 2023
Sometimes it’s hard to imagine that over three years have passed since the implementation of the Patient Driven Payment Model
(PDPM). And it is equally shocking that we have been living under a public health emergency for the entire time PDPM has been in effect. During this time frame, therapy services in the SNF setting have evolved but still serve as an essential element for quality care, positive patient outcomes, and overall operations. With over three years of experience under the “new” payment model, skilled nursing operators continue investigating dynamic methods to evaluate and manage value-driven, cost-effective business models. These discussions often include the risks and benefits of in-house vs. contract therapy models. In this article, we will explore the many factors operators should consider when evaluating the type of therapy model that will best suit their facility's needs in this current post-acute care environment.1 minute read
President Biden Releases Budget Proposal For Fiscal Year 2024
March 16th, 2023
On Thursday, March 9, President Biden released his budget proposal for FY 2024. While the President’s budget is largely a messaging document that is not voted on by Congress, it is an important document for communicating the Administration’s priorities. In the coming weeks, Administration officials will testify before key committees on the budget proposal.
The President’s Budget is comprised of numerous documents including the main budget summary as well as the HHS “Budget in Brief,” which outlines budget proposals for CMS and other entities within HHS (such as the CDC and FDA). These documents are available at the links at the bottom of this alert.
The budget document for CMS has a continuing focus on nursing facilities by the Biden Administration. President Biden had previously discussed nursing facility quality and safety in his State of the Union speech in 2022.
2 minute readREVENUE BOOSTING SOLUTIONS FOR A SUCCESSFUL CMI SYSTEM
February 20th, 2023
The impact of resident care and accurately identifying the acuity of a resident are the defining drivers of reimbursement for Skilled Nursing Facilities (SNFs). The management of these systems will determine whether a SNF can remain financially stable during very challenging times. A vital strategy to safeguard Skilled Nursing Facilities is the establishment of a comprehensive approach designed to guide facilities to success under case-mix reimbursement. Complete article here.
Another Preferred Therapy Solutions Emerging Leader
February 2nd, 2023
Another Preferred Therapy Solutions Emerging Leader!
1 minute readPosted in: NewsConnecticut to Initiate CMI Audits
January 19th, 2023
Connecticut to Initiate CMI Audits
To our valued customers:
BACKGROUND
The State of Connecticut implemented a CMI program for Medicaid reimbursement in January of 2022. Connecticut has contracted with Myers & Stauffer to perform CMI auditing for the state.
WHAT YOU NEED TO KNOW
A recent webinar by Myers & Stauffer laid out the planned system for CMI auditing:
1 minute readPosted in: Compliance, News
KEPRO Quality Improvement
January 13th, 2023
KEPRO QUALITY IMPROVEMENT ORGANIZATION
UPDATE NOTIFICATION PROCESS FOR NEW APPEALSTo our valued customers:
WHAT YOU NEED TO KNOW
Starting on January 17, 2023, KEPRO will no longer notify post-acute facilities and Medicare health plans via telephone for appeal notifications when a new appeal has been filed.
1 minute readPosted in: Compliance, NewsCOVID-19 PUBLIC HEALTH EMERGENCY (PHE) EXTENSION
January 11th, 2023
To our valued customers:
WHAT YOU NEED TO KNOW
Xavier Becerra, United States Secretary of Health and Human Services has once again announced the COVID-19 Public Health Emergency (PHE) extension, which was due to expire today, Wednesday, January 11, 2023. The COVID-19 PHE has been renewed for an additional 90 days with the new extension due to expire on Tuesday, April 11, 2023.1 minute readPosted in: Compliance, News
THE LINGERING ALBATROSS
November 28th, 2022
Providers are taking a closer look at CASPER and Five-Star reports, and the results from a post-COVID world are devastating. The industry continues to be in a staffing crunch, and often the Nursing Assessment Coordinator (NAC) is pulled from completing MDS’s to provide other responsibilities. Documentation has become a source of further stress for staff and is often not provided in its intended framework with an eye for detail. We are witnessing inexperienced staff that may have minimal training, providing care or understanding the depth of accuracy with timely documentation, which impacts Quality Measures. Almost three years have passed since the onset of COVID, and it has certainly left a permanent imprint on the healthcare industry.
During the early days of COVID, residents were in isolation, causing them to be socially separated, and only allowed limited movement within their rooms. Residents no longer walked the halls, ate in dining rooms, or attended activities. These new internal changes resulted in an increase in the number of residents that triggered quality measures (QM) related to Mobility and ADLs. The QMs tell us the quality of patient care for residents and inform the public on the quality of care that is provided in facilities. COMPLETE ARTICLE
RESILIENCE: Reflections on a Global Pandemic from the Eyes of An Occupational Therapist
September 1st, 2022
re·sil·ience: n. the process and outcome of successfully adapting to difficult or challenging life experiences, especially through mental, emotional, and behavioral flexibility and adjustment to external and internal demands. A number of factors contribute to how well people adapt to adversities, predominant among them (a) the ways in which individuals view and engage with the world, (b) the availability and quality of social resources, and (c) specific coping strategies. Additional article hereCMS Resumes Medicare A Post Pay Probes: ARE YOU READY
July 26th, 2022
The Center for Medicare and Medicaid Services (CMS) has resumed the Targeted Probe and Educate (TPE) program for performing medical reviews.
2 minute readPosted in: Compliance, News
The Long Goodbye
June 17th, 2022
Saying goodbye to a loved one usually involves a nice long bear hug, followed by a warm statement of, "Ill see you soon." This is not the case when leaving a loved one afflicted with Alzheimer's disease.
1 minute readCMS to End Certain COVID-19 Waivers
May 6th, 2022
CMS TO END CERTAIN COVID-19 WAIVERS BACKGROUND The Center for Medicare and Medicaid Services released a memorandum on April 7th to state agencies announcing the ending of specific Public Health Emergency (PHE) waivers in two different time frames: May 7th and June 7th.
2 minute readMay Celebrates Speech and Better Hearing Month
May 3rd, 2022
Preferred Therapy Solutions would like to thank everyone in the Speech Pathology discipline for all of your hard work in supporting our most vulnerable population. This May we celebrate Better Hearing & Speech Month and the people that work with those affected by communication and hearing disorders. #itsallaboutthepatient #celebratespeechpathologist #nationalbetterspeechandhearing
1 minute readEDUCATIONAL WEBINAR: FY 2023 SNF PPS Proposed Rule – What’s Ahead for PDPM, QRP & VBP!
April 18th, 2022
The FY 2023 Proposed Rule is out and CMS is following through on the recalibration of PDPM, adding new measures for quality and value-based care, and building upon the Biden-Harris…
1 minute readCMS Releases FY 2023 Proposed Rule
April 14th, 2022
BACKGROUND The Centers for Medicare and Medicaid Services (CMS) are legally required to update the Medicare payment rates and quality programs on an annual basis.
3 minute readApril Celebrates Occupational Therapy Month
April 5th, 2022
Preferred Therapy Solutions would like to extend its sincere gratitude to all of our professionals within the Occupational Therapy discipline.
1 minute readWHAT YOU NEED TO KNOW ABOUT OSHA INSPECTIONS
March 16th, 2022
BACKGROUND On March 7th, the Occupational Safety and Health Administration (OSHA) announced highly focused inspections directed at hospitals and skilled nursing care facilities that treat or handle COVID-19 patients.
1 minute readPosted in: Compliance, NewsSolutions Syllabus: Quality Measures
February 24th, 2022
Preferred Therapy Solutions is hosting a monthly educational series based on the RAI Manual for coding the MDS to ensure accuracy with Quality Measures (QMs).
1 minute readINTERDISCIPLINARY PRACTICES DESIGNED FOR OPTIMAL PATIENT-CENTERED PERFORMANCE
July 7th, 2021
This past January, CMS released their updated Long-Term Care Survey Process Materials.
1 minute read(No Title)
April 6th, 2021
LOOK WHAT'S NEW IN TELEMEDICINECMS Expands Medicare Telehealth Coverage forSpeech-Language Pathology and Audiology Services BACKGROUNDSince March of 2020, the Centers for Medicare and Medicaid Services (CMS) has been expanding the…
1 minute readPosted in: Compliance, NewsCMS TO HOLD CLAIMS BEGINNING APRIL 1, 2021
March 31st, 2021
BREAKING NEWS FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES WHAT YOU NEED TO KNOWPer CMS - In anticipation of possible Congressional action to extend the 2% sequester reduction suspension,…
1 minute readKEPRO AND LIVANTA IMPORTANT REMINDER
March 18th, 2021
The Quality Improvement Organization (QIO) goal is to complete appeals and quality of care reviews with healthcare providers as quickly and efficiently as possible.
1 minute readPosted in: Compliance, NewsNEW INTERNATIONAL DYSPHAGIA DIET STANDARDIZATION (IDDSI)
March 10th, 2021
What’s your plan for rolling out the new IDDSI initiative? Preferred Therapy Solutions provides the necessary platforms in developing a crosswalk between IDDSI and Skilled Nursing Facility diets.
1 minute readPreferred Therapy Solutions Family: Why We Get Vaccinated
January 30th, 2021
The Preferred Therapy Solutions Family: Why We Get Vaccinated
1 minute readThe PTS Family: Why We Get Vaccinated
January 4th, 2021
Click on the below box to activate this video.
1 minute readFee Schedule Cuts Addressed by Year-End Spending Bill
December 23rd, 2020
To our valued customers:BACKGROUND Without legislative action by the end of 2020, skilled nursing providers were facing significant cuts to Medicare reimbursement in 2021.
1 minute read#VACCINE FACTS #VACCINESCIENCE #STAYHEALTHY
December 23rd, 2020
VACCINE FACTS_VFDownload
1 minute readPosted in: NewsBREAKING NEWS Medicare Physician Fee Schedule (PFS) Final Rule
December 3rd, 2020
The Centers for Medicare and Medicaid Services (CMS) issued the CY 2021 Medicare Physician Fee Schedule (PFS) Final Rule on Dec 1st, 2020.
2 minute readPosted in: Compliance, NewsADVOCATE FOR LONG TERM CARE: CONTACT CONGRESS
November 20th, 2020
Preferred Therapy Solutions is active on the national level helping in a broader coalition effort to oppose the cuts to the Physician Fee Schedule that CMS has proposed for 2021.…
2 minute readBREAKING NEWS
August 26th, 2020
CMS Mandates Strict Testing of COVID-19 for Nursing Home Staff. Fines up to $8,000 for Non-compliance. To our valued customers: Yesterday, The Centers for Medicare & Medicaid Services (CMS)…
1 minute readPosted in: Compliance, NewsCMS to Resume Fee for Service (FFS) Medical Reviews
July 27th, 2020
To our valued customers: CMS expects to resume Fee for Service (FFS) Medical Reviews on August 3, 2020, regardless of the status of the Public Health Emergency (PHE), which has…
1 minute readPosted in: Compliance, NewsSKILLED NURSING FACILITY ADVANCE BENEFICIARY NOTICE OF NON-COVERAGE
June 30th, 2020
SKILLED NURSING FACILITY ADVANCE BENEFICIARYNOTICE OF NON-COVERAGE To our valued customers:The ABN, Form CMS-R-131 notice is subject to comment and re-approval every 3 years. The ABN, Form CMS-R-131 has been approved…
1 minute readPosted in: Compliance, NewsAsk the Experts Webinar: Juggling the New Normal
June 23rd, 2020
JOIN THESE POST-ACUTE INDUSTRY EXPERTS ON THIS INFORMATIVE WEBINAR!
1 minute readJoin Preferred Therapy Solutions on this Informative Webinar!
June 23rd, 2020
LEARN WHAT'S BEHIND THE MASK: REVEALING THE IMPACT OFCOVID-19 ON PDPM
1 minute readBlack Lives Matter
June 11th, 2020
Black lives matter. My heart breaks for the families of Breonna Taylor, Ahmaud Arbery, and George Floyd and so, so many other black American families that have endured unimaginable pain…
1 minute readBehind the Mask: Check out our video of our amazing health care professionals!
June 11th, 2020
https://video214.com/play/MG9lln6LktYBI0hisXBT1g/s/dark1 minute readEDUCATIONAL WEBINAR SERIES
May 22nd, 2020
Preferred Therapy Solutions is dedicated to providing clinical education and support for the long term and post-acute care community. Due to overwhelming demand and many requests for training on how…
1 minute readJoin Preferred Therapy Solutions on this Informative COVID-19 Webinar.
May 22nd, 2020
Register at: https://bit.ly/3bVApkX
1 minute readPreferred Therapy Solutions and Celtic Consulting Partner on COVID-19 Webinars
May 21st, 2020
Preferred Therapy Solutions and Celtic Consulting will be hosting a series of collaborative webinars. The next webinar will be on May 28, 2020. Register at: https://bit.ly/2zaqqef
1 minute readCMS Releases FY 2021 Proposed Rule: SNF’s In-Line for 2.3% Payment Increase
April 16th, 2020
BACKGROUND: The Centers for Medicare and Medicaid Services (CMS) are legally required to update the Medicare payment rates and quality programs on an annual basis. Each April, CMS publishes a proposed…
1 minute readPosted in: NewsCMS Updates PDPM-ICD-10 Mappings for COVID-19
April 1st, 2020
BACKGROUND: The Centers for Medicare & Medicaid Services (CMS) has the authority to update the list of ICD-10-CM codes used for capturing various payment components under PDPM. CMS has exercised…
1 minute readPosted in: Compliance, NewsCMS to Delay MDS 3.0 Draft Changes
March 19th, 2020
Preferred Therapy Solutions continues to provide its partners with vital information that may impact rehabilitation management, reimbursement policies, and clinical programs, supported with compliance and regulatory requirements that are necessary for…
1 minute readPosted in: Compliance, NewsCMS Publishes FY 2022 SNF Annual Payment Update (APU) Overview Table
February 18th, 2020
Background Skilled Nursing Facility (SNF) Quality Reporting Program Measures The Impact Act of 2014 required implementation of clinical assessment areas using standardized data elements in each of the instruments used…1 minute readDarlene Piraino is Hosting a Session at the American Occupational Therapy Association Annual Conference
February 10th, 2020
Congratulations to Darlene Piraino she is an expert in her field. She will be sharing her clinical expertise at the AOTA Annual Conference in March. Great Job! #clinicalexpert #itsallaboutthepatient #AOTA…1 minute readWhat’s all the buzz?
October 21st, 2019
Preferred Therapy Solutions working with our partners and creating interactive rehabilitation methods. #itsallaboutthepatient #beeconnected #PTS&Partners1 minute readOctober is Physical Therapy Month.
October 4th, 2019
Thank you to all PTs and PTAs for your dedication and hard work. #ChoosePT
1 minute readPosted in: NewsMatt Nash will be a guest speaker on September 6th for the New York Association of Long Term Care Administrators
September 5th, 2019
Posted in: NewsCMS FINAL RULE
August 6th, 2019
Changes with CMS' FINAL RULE: FISCAL YEAR 2020 Preferred Therapy Solutions continues to provide its partners with vital information that may impact rehabilitation management, reimbursement policies, and clinical programs, supported with…1 minute readMatt Nash is a guest speaker at the Maine Medical Directors Association Conference
August 6th, 2019
Matt provides the strategies needed for a thorough understanding of the policies and procedures necessary for reimbursement changes. #PDPM #Medicaldirectorsassociation #PreferredTherapySolutions #Reimbursement #CMSFinalRule #LongTermCare
1 minute readPosted in: NewsClarification to the Anthem Blue Cross Blue Shield Implementation of Pre-Authorization for Outpatient Therapy
July 16th, 2019
Preferred Therapy Solutions continues to provide its partners with information that may impact rehabilitation services, compliance or regulatory requirements. The below information clarifies the significant change in pre-authorized outpatient therapy as defined by Anthem…1 minute readMatt Nash host Tuesday StandUp ICD-10 Coding for LeadingAge MD, DC, VA, OH, ME NH and TN.
July 9th, 2019
With less than 100 days to the new CMS reimbursement changes, Matt Nash is making sure facilities have a their pre-game playbook in place. #TuesdayStandUp, g#ICD10Coding, #LeadingAgeMD, #LeadingAgeDC, #LeadingAgeVA, #LeadingAgeOH,…1 minute readPosted in: NewsMarcum Long Term Care Symposium
June 25th, 2019
Preferred Therapy Solutions was honored to be part of the 6th Annual Marcum Long-Term Care Symposium. #askmarcum #healthcare #preferredtherapysolutions #longtermcare1 minute readPosted in: NewsMatt Nash is part of the panel at the 2019 Synergy Summit
June 13th, 2019
Matt Nash, Vice President of Strategic Development was part of the panel discussing the new Patient-Driven Payment Model (PDPM): Reconciling FFS Volatility in a Value-Based World. #PDPM #longtermcare #SynergySummit #PreferredTherapySolutions1 minute readPosted in: NewsLiz Almeida-Sanborn: Back in the classroom!
June 4th, 2019
Liz's experience in geriatric rehabilitation and her expertise in Medicare regulatory requirements provides students with insight into the post-acute care setting.1 minute readMatt Nash is a Guest Speaker at the LeadingAge New York Annual Conference.
May 17th, 2019
Matt Nash, Vice President of Strategic Development Discusses Payment Reform, the New Playbook: Success Through Quality and Value-Based Programs at the LeadingAge New York Annual Conference.1 minute readPosted in: NewsLiz Almeida-Sanborn presents at the CAHCF/CCAL
May 16th, 2019
Recently, Liz Almeida-Sanborn, President and CEO of Preferred Therapy Solutions, Maureen McCarthy, President at Celtic Consulting, and Matt Nash, Vice President of Strategic Development at Preferred Therapy Solutions, presented to…1 minute readPosted in: NewsBetter Hearing & Speech Month!
May 1st, 2019
Today brings the start of Better Hearing & Speech Month! Preferred Therapy Solutions would like to say thank you and express our appreciation to all SLPs.1 minute readPosted in: NewsNursing Home Compare Quarterly Refresh with SNF QRP Data Now Available
April 25th, 2019
Nursing Home Compare QuarterlyRefresh with SNF QRP Data Now Available BackgroundCMS announced that the April 2019 Nursing Home Compare Refresh, including quality measures results based on SNF Quality Reporting Program…1 minute readPosted in: Compliance, NewsApril Celebrates Occupational Therapy Month!
April 1st, 2019
Today brings the start of Occupational Therapy Month! Preferred Therapy Solutions would like to say thank you and express our appreciation to all OTs and OTAs.1 minute readMatt Nash, Panelist at the 2019 Synergy Summit
March 27th, 2019
Matt Nash, Vice President of Strategic Development at Preferred Therapy Solutions will be a panelist at the 2019 Synergy Summit on the topic of the Patient-Driven Payment Model (PDPM): Reconciling…1 minute readPosted in: News*TIME SENSITIVE* CMS HOSTING NATIONAL PROVIDER CALL Learn CMS’ Review and Corrections Process for VBP before it’s too late!
March 5th, 2019
Phase One Review and Corrections Call — March 20th BackgroundThe SNF Value Based Program measure, Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) estimates the risk-standardized rate of all-cause, unplanned…1 minute readPosted in: Compliance, NewsNursing Home Compare Quarterly Refresh with SNF QRP Data Now Available
February 4th, 2019
Nursing Home Compare Quarterly Refresh withSNF QRP Data Now Available Background CMS announced that the January 2019 Nursing Home Compare Refresh, including quality measures results based on SNF Quality Reporting Program…1 minute readPosted in: Compliance, News*TIME SENSITIVE* SNF Provider Preview Reports Now Available
February 2nd, 2019
REVIEW BEFORE DATA MADE PUBLIC Background Prior to the release of SNF QRP data on Nursing Home Compare, SNFs have the opportunity to review their quality measure results during a…1 minute readPosted in: Compliance, NewsyourSource | Newsletter 2019 State of the Union with Liz Almeida-Sanborn
February 2nd, 2019
An Interdisciplinary Approach to Alphabet Soup PDPM/QRP/ VBP – an introduction With the effective date of the Patient Driven Payment Model (PDPM) finalized, and SNF QRP and VBP in place,…1 minute readPosted in: NewsBilling Reminder! CMS 2019 Physician Fee Schedule Final Rule Is Now In Effect!
January 16th, 2019
Physician Fee Schedule Effective January 1, 2019 Background CMS released the Physician Fee Schedule Final Rule in November 2018 with an effective date of January 1, 2019. What you need…1 minute readPosted in: Compliance, NewsMatt Nash, Vice President of Strategic Development Discusses The Future of SNF Medicare Reimbursement: Patient-Driven Payment Model
October 15th, 2018
Matt Nash, Vice President of Strategic Development discusses The Future of SNF Medicare Reimbursement: Patient-Driven Payment Model at the Maine Health Care Association Fall Health Care Conference & Expo. Matt…1 minute readPosted in: NewsSNF QRP Submission Deadline Approaching
October 10th, 2018
Background The Skilled Nursing Facility Quality Reporting Program (SNF QRP) requires facilities to report assessment data in a timely manner. Providers must submit all data necessary to calculate the SNF…1 minute readPosted in: Compliance, NewsNew York MDS Case Mix Picture Date Update
September 18th, 2018
Yesterday, September 17, 2018 the NY DOH held a monthly briefing and announced they will release final details today with regard to the NY MDS case mix picture updates which…1 minute readPosted in: Compliance, NewsCMS Releases FY 2019 SNF PPS Final Rule: PDPM Finalized
August 1st, 2018
CMS Releases FY 2019 SNF PPS Final Rule: PDPM Finalized Background Late yesterday afternoon, the Centers for Medicare and Medicaid (CMS) released the Final Rule for FY 2019 SNF Prospective Payment…2 minute readPosted in: Compliance, NewsSkilled Nursing Facility (SNF) Provider Preview
June 7th, 2018
Skilled Nursing Facility (SNF) Provider Preview Reports have been updated and are now available. Providers have until June 30, 2018 to review their performance data prior to public display on…1 minute readPosted in: Compliance, NewsMatt Nash, Vice President of Strategic Development on June 5th at the 2018 MARCUM Long Term Care Symposium
May 31st, 2018
Matt Nash, Vice President of Strategic Development on June 5th at the 2018 MARCUM Long Term Care Symposium at Mohegan Sun in CT. Matt will be hosting an educational session…1 minute readDarlene Piraino Guest Speaker at the 2018 AOTA Annual Conference and Expo
May 15th, 2018
April is always a special month at Preferred Therapy Solutions as we recognize the many Occupational Therapy professionals that are devoted to helping people through therapeutic measures to participate in…1 minute readCMS Releases FY 2019 Proposed Rule
May 2nd, 2018
Background On Friday April 27th, the Centers for Medicare and Medicaid Services (CMS) released the proposed rule for the Prospective Payment System & Consolidated Billing for Skilled Nursing Facilities (SNF-PPS)…2 minute readMedPAC Holds March 2018 Public Meetings
March 20th, 2018
Background On Thursday, March 1, 2018, the Medicare Payment Advisory Commission (MedPAC) met as scheduled for their March public meeting in Washington, DC. The purpose of this and other public meetings…1 minute readCMS discusses timeline for RCS-I Implementation on ODF
March 9th, 2018
The Centers for Medicare and Medicaid Services (CMS) stated there is no timeline for the implementation of the proposed Resident Classification System-I (RCS-I) on their Open Door Forum (ODF) held on…1 minute read
Over The Top
October 23rd, 2017
Team building experiences are a great way to engage employees in the workplace to better understand each other’s strengths and weaknesses. By pairing different groups and management levels to work…1 minute read
October is Physical Therapy Month
October 13th, 2017
Preferred Therapy Solutions would like to thank all Physical Therapists for their hard work and dedication in helping to improve the quality of life for the patients that they help each…1 minute readPresident of Preferred Therapy Solutions Elizabeth (Liz) Almeida-Sanborn Lectures at Springfield College
April 28th, 2017
For several years, Liz Almeida-Sanborn has been lecturing to the Doctoral Candidates in the Springfield College Physical Therapy Program. On Friday, March 31, 2017, Liz provided a two-hour lecture to…1 minute read
