tci Medicare Compliance & Reimbursement - 2006 Issue 12

Case Study: 'Teamwork' Helps Providers Manage Therapy Under New RUG System

Following one facility's lead could help boost outcomes and payments.Providers may see their revenue margins suffer this year if their staff isn't acing patient assessment.Sunshine Terrace Foundation Rehabilitation Center, a skilled nursing facility in Logan, UT, works as a team to ensure that both outcomes and payments stay on track under Medicare's new Resource Utilization Group payment system."We look at reimbursement ... but the [treatment] decisions are driven by the resident's clinical needs," relays Inne Taylor, the facility's MDS coordinator.During a weekly meeting, team members provide assessment data to develop a complete picture of the...

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