Financial Management for Rehab Leaders


Book Description

"Financial Management for Rehab Leaders: A Practical Guide" is an essential resource for rehabilitation professionals transitioning into leadership roles. Author David Potach, drawing from extensive experience as a seasoned rehab leader, provides a comprehensive and accessible guide to navigating the complex world of healthcare finance. Through the relatable journey of Amanda, a physical therapist turned rehab director, readers gain practical knowledge and skills necessary to make informed financial decisions and drive positive change in their organizations. This book bridges the gap between clinical expertise and financial acumen, empowering rehab leaders to: Master fundamental accounting and budgeting principles Understand reimbursement methods and revenue cycle management Optimize productivity and generate alternative revenue streams Make data-driven decisions balancing patient care and financial sustainability Lead financial change and foster a culture of fiscal responsibility Packed with real-world examples, case studies, and practical exercises, this guide offers hands-on approaches to financial management specifically tailored for rehabilitation settings. Potach skillfully addresses the unique challenges faced by rehab leaders, providing strategies to: Effectively communicate with staff about financial matters Navigate the shift towards value-based care Implement cost-effective supply chain management Develop and manage capital budgets Utilize financial analysis techniques for informed decision-making Whether you're a new director or a seasoned leader looking to enhance your financial skills, "Financial Management for Rehab Leaders" equips you with the tools and confidence to excel in your role. This indispensable guide will help you make a lasting impact on the lives of your patients and the success of your organization in today's ever-evolving healthcare landscape.




Management in Physical Therapy Practices


Book Description

That’s why we’ve provided wisdom you won’t find in any other Management text—practical business principles and perspectives for all types of clinical settings to help you prepare for wherever life may lead you. Walk through true stories of trials and triumphs as Catherine Page shows you how to create a personal business plan that will set you up for success—whether you decide to own a clinic or focus on direct patient care.




Physical Therapy Management


Book Description

Discover what it takes to succeed in the "real world" of physical therapy practice, where you'll rely not only on your clinical skills, but on management skills such as budgeting, recruiting, professional development, and limiting your risk of liability. Expert authors Ron Scott and Christopher Petrosirio guide you through the essentials of practice management to help you understand and master these skills and more. You'll find ideas for marketing your practice, as well as advice and information on negotiation and dispute resolution, human resources management, quality and risk management, legal and ethical issues, and fiscal management. Specific case examples from the authors' own experiences illustrate important points throughout the book. Well-known author Ron Scott draws from his unique experiences as a physical therapist clinical manager, MBA, and health law attorney to provide a uniquely comprehensive and insightful overview of physical therapy practice management.An emphasis on human resources ("people") management offers effective strategies for recruiting, selecting, and retaining the best clinicians and support professionals in this increasingly competitive field.Case examples based on the authors' own experiences bring concepts to life.Engaging exercises - including group discussions, role-playing scenarios, and short answer - help you strengthen your critical thinking skills.Current terminology from the APTA Guide to Physical Therapist Practice, 2nd Edition is used throughout.




Health Care Finance and the Mechanics of Insurance and Reimbursement


Book Description

This book addresses the methods and process for reimbursement, including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing. With up-to-date coverage of the Affordable Care Act, this text will prepare health administration and health information management students with the necessary tools to successfully transition from the classroom to the health care facility. Some of the topics covered include: claims processing; the Affordable Care Act; Medicare Prospective Payment System (Inpatient); Medicare Outpatient Prospective Payment Systems (Non-Inpatient); coding for the non-HIM professional; revenue cycle management; healthcare fraud and abuse; electronic health records and meaningful use; government incentive programs; recovery audit contractors student & instructor resources. --







Executive Summary of Analyses for the Initial Implementation of the Inpatient Rehabilitation Facility Prospective Payment System


Book Description

In the Balanced Budget Act of 1997, Congress mandated that the Health Care Financing Administration (HCFA) implement a Prospective Payment System (PPS) for inpatient rehabilitation under Medicare. This new PPS will be implemented beginning January 1, 2002. This report describes the research that RAND performed to support HCFA's efforts to design, develop, and implement this Inpatient Rehabilitation Facility PPS, or IRF PPS. It presents recommendations concerning the payment system and also discusses our plans for further research on the monitoring and refinement of the PPS. The new PPS will apply to rehabilitation hospitals and to distinct rehabilitation units of acute care hospitals that were excluded from the acute care PPS. Medicare patients in such facilities must receive intensive therapy (generally at least three hours per day). In addition, 75 percent of each facility's patients must have one often specified problems related to neurological or musculoskeletal disorders or burns. Since 1982, Medicare payment for these rehabilitation facilities has been made under the Tax Equity and Fiscal Responsibility Act (TEFRA). The payment amount depends on a per-case target amount that is calculated from historical costs at the facility trended forward and on the hospital's actual cost per case. Under TEFRA, there is no adjustment for changes in a hospital's case mix or for outlier cases. This lack of adjustment creates incentives for providers to specialize in relatively less-expensive cases and, as a result, might limit beneficiary access. TEFRA pays for discharges that do not include a full course of rehabilitation (e.g., short stays for evaluation, transfer cases) as full cases. These payments in excess of costs may have both quality and cost-control implications. TEFRA was widely perceived to be unfair to older hospitals.




Medicare Program - Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2016 (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)


Book Description

Medicare Program - Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2016 (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicare Program - Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2016 (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2016 as required by the statute. As required by section 1886(j)(5) of the Act, this rule includes the classification and weighting factors for the IRF PPS's case-mix groups and a description of the methodologies and data used in computing the prospective payment rates for FY 2016. This final rule also finalizes policy changes, including the adoption of an IRF-specific market basket that reflects the cost structures of only IRF providers, a 1-year phase-in of the revised wage index changes, a 3-year phase-out of the rural adjustment for certain IRFs, and revisions and updates to the quality reporting program (QRP). This book contains: - The complete text of the Medicare Program - Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2016 (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section







Medicare Programs - Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2015 (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)


Book Description

Medicare Programs - Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2015 (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicare Programs - Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2015 (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2015 as required by the statute. This final rule finalizes a policy to collect data on the amount and mode (that is, Individual, Concurrent, Group, and Co-Treatment) of therapy provided in the IRF setting according to therapy discipline, revises the list of diagnosis and impairment group codes that presumptively meet the "60 percent rule" compliance criteria, provides a way for IRFs to indicate on the Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI) form whether the prior treatment and severity requirements have been met for arthritis cases to presumptively meet the "60 percent rule" compliance criteria, and revises and updates quality measures and reporting requirements under the IRF quality reporting program (QRP). This rule also delays the effective date for the revisions to the list of diagnosis codes that are used to determine presumptive compliance under the "60 percent rule" that were finalized in FY 2014 IRF PPS final rule and adopts the revisions to the list of diagnosis codes that are used to determine presumptive compliance under the "60 percent rule" that are finalized in this rule. This final rule also addresses the implementation of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), for the IRF prospective payment system (PPS), which will be effective when ICD-10-CM becomes the required medical data code set for use on Medicare claims and IRF-PAI submissions. This book contains: - The complete text of the Medicare Programs - Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2015 (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section