model of service delivery that emphasizes providing ONLY those treatments
that are DOCUMENTED as effective and most efficient
concepts
process
utilizes literature search and review
provider determines expected
benefits
harm
costs
time
DE-emphasizes clinical judgments based on "personal" experience and anecdotal
evidence
benchmarks
sets expected levels of productivity and/or effectiveness
providers will be reimbursed only if demonstrating effectiveness and efficiency
Managed Care and Academia
student clinicians are not efficient (effective?)
supervising clinicians CAN reduce productivity
clinical research is time-consuming and costly
implications for curriculum
concepts of managed care
measurement of treatment outcomes
skill in evidence-based practice
Reimbursement Systems
types
private insurers
group plans (often employer supported)
individual plans
government supported
medicare (federally funded and administrated)
medicaid (federally funded and state administered)
methods
prospective payment
DRG (diagnostic related groups)
inpatient care
payment based on diagnosis
provider benefits from decreased LOS
utilizers
Medicare (Part A--no premium)
1st 60 days, $768 deductable
days 60-100, $192 per day co-payment
many private insurers
RUG (resource utilization group)
skilled nursing
Medicare Part A
no co-payment for first 20 days
$96 per day for next 80 days
payment based on determined level of rehab care
ultra high
720 minutes or greater of tx
at least two disciplines
one 5 days
one 3 days
very high
500 minutes or greater
at least one discipline 5 days
high
325 minutes or greater
at least one discipline 5 days
medium
150 minutes or greater
any combination of txs 5 days
low
45 minutes or greater
any combination 3 days
providers benefit from high-functioning patients
utilizers
Medicare
skilled nursing uses copayments as above
home health has no co-payment
Staff providers
facility employs providers
cost of potential services included in per-day cost to individual payers
retrospective payment
fee for service model
usually involves
deductible
co-payments
set fee per visit
80/20
fee discounts for payor
utilizers
fewer and fewer private insurers
Medicare
outpatient services
$100 deductible
$1500 cap
1500 for both PT, SLP
1500 for OT
hospital-based tx exempt
out-of-pocket
Implications for service delivery
referrals
inpatient
hospital receives no reimbursement for additional services
services considered valuable if they reduce LOS
likely to get more dysphagia referrals
rehab
also functions under DRG
focus now moves more towards functional outcome
will your services reduce ultimate cost of care?
skilled nursing
facilities will be looking to admit high-rehab potential patients
tx services will be reimbursed ONLY for those with high RUGs
long-term care
staff providers may be too costly to maintain
outpatient
may have to choose between walking and talking
may result in more out-of-pocket expenses
goal selection
emphasis on functional outcomes
stress independence
safety
Documentation (Stierwalt, 1998)
The Glass is...
Terminology issues
words/phrases used can impact the likelihood of payment
Sets the tone for expectation of progress, or necessity of skilled services
Tx can be provided in the following areas (for medicare)
speech
language
swallowing
voice
Half empty...
Poor cognitive skills
Pt. not oriented to time or place
Status unchanged
Maintenance tx
Monitored during mealtime
Pt. Confused
No significant difficulties noted
Oral motor exercises were stressed
Half full...
New skill acquired
Designed and established a functional maintenance program
Pt. ready for next step in tx
Ability to generalize noted
Higher level language skills noted
Training and instruction
Functional vocabulary increased
Deficits require skilled tx
Treatment Goals
Measurable
Functional
Pt. Related
Focused on the areas reimbursed at least 50%
Evaluations: Questions reviewers will ask when viewing eval docs.
What happened
When
Premorbid skill level
Current presenting problems
Prognosis for improvement
Skilled tx required?
Recommendations include functional outcomes?
What happened
reviewers will look for medical diagnosis
associated with a specific ICD code.
ICD Codes
Primary Codes
CVA - 436.0
Tx Codes
Apraxia - 784.69
Aphasia - 784.3
Dysarthria - 784.5
Agnosia - 784.69
Dysphagia - 787.2
Tx codes must be in line with diagnostic codes, or it may be basis for
denial of payment
Codes would be on Tx plan
Premorbid Skills
Premorbid abilities
previous CVAs
other neurologic events
normal functioning
Cannot set goals higher than the prior level of function
Current functioning
make sure to describe deficits so that reviewer can see that it is a covered
aspect of speech/language and swallowing
Deficit statements
Because of dysarthria the patient is unable to produce understandable speech
to communicate wants and needs. Speech intelligibility is currently at
the 20% level of effectiveness.
The aphasia has produced a symbolic dysfunction that interferes with the
patient's ability to recall and use single words to communicate wants and
needs. This ability is currently at the 30% level of effectiveness.
Although these are acceptable statements according to Medicare guidelines,
a clinician should question them. What's wrong with these statements? You
must provide the basis for your observations
Standardized tests
requires skilled administration
Informal observation
requires skilled interpretations
Summary of Evaluation
State the medical diagnosis
Specify the date of occurrence or change in condition
Describe the conditions the you are qualified to treat
Explain why speech services are needed
Specific training and instruction that needs to be conducted
Functional levels of independence
Progress Notes
Home health and Skilled Nursing
MDS (minimum data set) completed by
day 7: covers 14 days
day 14: covers 16 days
day 21: covers 30 days (care plan due)
day 60, etc: covers 30 days
General guidelines
Functional goals addressed
Knowledge and training of a professional is necessary
Progress must be related to functional progress toward established goals
Comparison statements must be included in the documentation
Positive expectation for continued progress
Medicare Denial Criteria
Services are not reasonable nor are they necessary
Services are not considered skilled services
Other Documentation Issues
Acute Care Documentation
typically hand written
immediately following the visit with the patient
location in the medical chart
progress notes
Consult reports
Rehabilitation
typically dictated
follows a universal temporal pattern
referral received
within 24 hours of receiving a referral
Evaluation report
three days following referral
inpatient progress notes
one per week following the evaluation
outpatient progress notes
one per month following discharge or from start date.
Procedure reports
Within 24 hours of procedure
Discharge Summaries
Within three days of discharge
Miscellaneous
Preauthorization and/or reauthorization
letters to document the need for service
historically, seldom necessary
more frequently needed in the growing managed care market