Welcome to Rehab Perspectives.Risk isn't always where you expect it to be. For nursing homes, the word "risk" immediately implies the Office of Inspector General Noun 1. Office of Inspector General - the investigative arm of the Federal Trade Commission OIG independent agency - an agency of the United States government that is created by an act of Congress and is independent of the executive departments and vulnerability to fraud and abuse under Medicare rules. It also conjures thoughts of resident falls and survey citations. [ILLUSTRATION OMITTED] But risk involves some areas we may not always consider. For example, poor clinical documentation risks denials in payment. Errors in billing--often as simple as a mistake in addition or the misreading MISREADING, contracts. When a deed is read falsely to an illiterate or blind man, who is a party to it, such false reading amounts to a fraud, because the contract never had the assent of both parties. 5 Co. 19; 6 East, R. 309; Dane's Ab. c. 86, a, 3, Sec. 7; 2 John. R. 404; 12 John. R. of a number--can hugely affect reimbursement Reimbursement Payment made to someone for out-of-pocket expenses has incurred. . Inaccurate tracking of therapy minutes may run afoul of a·foul of prep. 1. In or into collision, entanglement, or conflict with. 2. Up against; in trouble with: ran afoul of the law. regulatory requirements Regulatory requirements are part of the process of drug discovery and drug development. Regulatory requirements describe what is necessary for a new drug to be approved for marketing in any particular country. , risking investigation. Lack of standardized standardized pertaining to data that have been submitted to standardization procedures. standardized morbidity rate see morbidity rate. standardized mortality rate see mortality rate. training for clinicians risks diminished quality of care and diminished caseload case·load n. The number of cases handled in a given period, as by an attorney or by a clinic or social services agency. caseload Noun . In this issue of Rehab Perspectives, we explore how 21st-century technology can help a nursing home address some of these less commonly considered but no less important areas of risk. We are fortunate to live in a world in which technology can streamline systems, increase accuracy, and aggregate pertinent data into a useful array of reports. We begin with good clinical documentation, the foundation of quality resident care and the basis for which services are paid. We move on to trace how technology facilitates the flow of information from the resident's admission through treatment to billing to discharge. Even tracking denials and appeals is made simple with systems that can pinpoint triggers and trends. With technology we are able to simultaneously educate therapists across the country, standardizing care and bringing therapists up to speed in terms of the regulatory environment. All of these initiatives reduce risk for the facility. Come with us as we explore how your nursing home can address areas of risk through good documentation and technology and provide better therapy for your residents. Aegis is your rehab resource. Best regards, Martha Schram President Aegis Therapies |
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