The Key To “One Minute” Therapy Management
Simple and effective tools are an absolute must for therapy managers who want to not only survive but prosper in this difficult regulatory and financial environment. Our solution? Flash Graphs! These simple tools can identify a single clinical compliance or operational issues in “one minute” or less. Therapy managers can respond to these issues quickly before they become serious problems.
CarePoint Flash Graphs Include:
Productivity By Therapist
Contract therapy providers and skilled nursing facility owners monitor therapist productivity so patients get the most direct care possible and their therapy team operates profitably. The graph below highlights 12 therapists who are below the 80% productivity target required. More subtly, it measures the effective use of group and concurrent treatments with 70 therapists above 90% productivity. Combine this with the ability to distinguish treatment from payroll time or exclude certain types of non-treatment time or providers and you have a really powerful tool to control therapy expenses.
Patient Treatment Setting
Greater use of group treatment minutes can maximize Medicare Part A revenue. Group minutes can be 25% of total minutes when computing RUG’s levels. Limiting the use of concurrent treatment minutes can reduce therapy expenses. Only one-half of concurrent minutes can be included when computing RUG’s levels.
The graph below highlights a heavy reliance on individual treatments. Group minutes never exceed 10% of total minutes so the opportunity to maximize revenue is lost. Concurrent minutes increased to 25% in March. One-half of concurrent minutes are excluded when computing RUG’s levels so they are lost as well. Identifying trends in minutes provided is a powerful tool to maximize revenue and control therapy expenses.
RUG’s Level Case Mix & RUG’s Level Excess Minutes
Patients are provided treatment minutes throughout the ARD period that are necessary to achieve planned RUG's levels. A shortfall in treatment minutes provided may result in lower than expected per diem reimbursements. The RUG’s Level Case Mix Flash Graph analyzes your patient census by RUG’s level. This census information can then be compared to historical case mix results or the results of similar SNF’s operating in your area.
Excess minutes are excluded from the RUG's level calculation. These minutes include group treatment minutes above the 25% maximum allowed plus one-half of the concurrent treatment minutes provided. The RUG’s Level Excess Minutes Flash Graph identifies minutes provided in excess of the allocated minutes allowed in the RUG’s level calculation. The ability to highlight excess minutes in “real time” is a powerful tool to ensure that all treatment minutes are used to generate per diem reimbursements.
MPPR Fee Adjustment
Therapists can reduce the MPPR Fee Adjustment with a few simple planning and scheduling strategies. You might be surprised how much you can reduce this adjustment by scheduling speech therapy across multiple days, providing discipline evaluations on different days, and limiting the units of treatment codes provided with an evaluation.
The MPPR Fee Adjustment Flash Graph highlights opportunities to reduce this adjustment. The graph tracks Always Therapy codes at the full rate, codes at the discounted rate, and other codes not subject to the discount at the full rate. The ability to identify trends in codes provided and their impact on this adjustment “at a glance” is a powerful tool to minimize this adjustment in “one minute” or less!