Heather Giurbino is #hiring. Know anyone who might be interested?
Arbor Rehabilitation and Healthcare Services Inc.’s Post
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Therapy's Role with SNF Value Based Purchasing #arborrehab, #snfrehab #vbp
Position your facility for current and future Value Based Purchasing success!
Arbor Rehabilitation and Healthcare Services Inc. on LinkedIn
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With her 1000 watt smile, Arbor Rehabilitation is proud to have our full time new grad OTR on our team! Haleigh is a quick study, hard worker and dedicated to the success of her patients. While working with her OTR mentor, Haleigh casually mentioned that she starts her day at 6 AM three times a week specifically to work with one person. This gentleman is highly motivated but goes out for dialysis at 7 AM. Haleigh wants to see him at his personal best time (6 AM, Pre-dialysis!) to make the most of his treatment sessions. Hats off to Haleigh for being such a devoted therapist. And hats off to all of our team members who schedule their day to maximize patient participation and success!
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Death by 1000 paper cuts... The long term care industry faces cut after cut from CMS. This makes providing competitive wages for our hard working therapists a challenge. Click on the link below to speak out against this devastating erosion of our industry! https://p2a.co/2ZyKJYp
Medicare Provider Relief is Urgently Needed Now
p2a.co
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The OIG needs to look very carefully at these devastating practices and not just give MA plans who don't follow Medicare standards more than a slap on the wrist!
According to the lawsuit, UnitedHealth started using nH Predict in at least November 2019, and it is still in use. The algorithm estimates how much post-acute care a patient on a Medicare Advantage Plan will need after an acute injury, illness, or event, like a fall or a stroke. Post-acute care can include things like therapy and skilled care from home health agencies, skilled nursing homes, and inpatient rehabilitation centers. It's unclear how nH Predict works exactly, but it reportedly estimates post-acute care by pulling information from a database containing medical cases from 6 million patients. NaviHealth case managers plug in certain information about a given patient—including age, living situation, and physical functions—and the AI algorithm spits out estimates based on similar patients in the database. The algorithm estimates medical needs, length of stay, and discharge date. According to the Stat investigation and the lawsuit, the estimates are often draconian. For instance, on a Medicare Advantage Plan, patients who stay in a hospital for three days are typically entitled to up to 100 days of covered care in a nursing home. But with nH Predict, patients rarely stay in nursing homes for more than 14 days before receiving payment denials from UnitedHealth.
UnitedHealth uses AI model with 90% error rate to deny care, lawsuit alleges
arstechnica.com
