Below is an excerpt from CMS’ website about the Jimmo Settlement.  This is a clarification of what CMS covers for Maintenance Therapy and Nursing in Home Health and other settings.  I encourage everyone who works in home health to learn and become familiar with this result as it may help identify patients who need and qualify for home health therapy services.

 

https://www.cms.gov/Center/Special-Topic/Jimmo-Center.html

Jimmo Settlement

Important Message About the Jimmo Settlement

The Centers for Medicare & Medicaid Services (CMS) reminds the Medicare community of the Jimmo Settlement Agreement (January 2013), which clarified that the Medicare program covers skilled nursing care and skilled therapy services under Medicare’s skilled nursing facility, home health, and outpatient therapy benefits when a beneficiary needs skilled care in order to maintain function or to prevent or slow decline or deterioration (provided all other coverage criteria are met).  Specifically, the JimmoSettlement Agreement required manual revisions to restate a “maintenance coverage standard” for both skilled nursing and therapy services under these benefits:

Skilled nursing services would be covered where such skilled nursing services are necessary to maintain the patient’s current condition or prevent or slow further deterioration so long as the beneficiary requires skilled care for the services to be safely and effectively provided.

Skilled therapy services are covered when an individualized assessment of the patient’s clinical condition demonstrates that the specialized judgment, knowledge, and skills of a qualified therapist (“skilled care”) are necessary for the performance of a safe and effective maintenance program.  Such a maintenance program to maintain the patient’s current condition or to prevent or slow further deterioration is covered so long as the beneficiary requires skilled care for the safe and effective performance of the program.

The Jimmo Settlement Agreement may reflect a change in practice for those providers, adjudicators, and contractors who may have erroneously believed that the Medicare program covers nursing and therapy services under these benefits only when a beneficiary is expected to improve.  The Jimmo Settlement Agreement is consistent with the Medicare program’s regulations governing maintenance nursing and therapy in skilled nursing facilities, home health services, and outpatient therapy (physical, occupational, and speech) and nursing and therapy in inpatient rehabilitation hospitals for beneficiaries who need the level of care that such hospitals provide.

The Comprehensive Joint Replacement (CJR) programs is a “hot-button” issue in the home health industry, and as a Home Health Therapy company we had the unique position to hear how multiple home health agencies were preparing for them.  One of the reasons there was a large interest in figuring out the best way to work with this initiative was because it was mandatory to participate in it, that said it looks like CMS is now moving towards making the program (and others) voluntary.  Below is an excerpt from an article written by Amy Baxter of Home Health Care News, follow the link below to read the full version.

 

“The Centers for Medicare & Medicaid Services (CMS) has proposed to cancel mandatory bundled payment models and make changes to an existing bundled payment initiative focused on joint replacements.

The proposal aligns with what home health stakeholders have called for, as some have stated the mandatory bundles were being implemented too fast.

Specifically, CMS is moving to scrap the Episode Payment Models and Cardiac Rehabilitation incentive payment model, which were scheduled to begin on Jan. 1, 2018.”

Full Article

 

 

To say we’re lucky to have such great employees work with us would be an understatement.  Jude has been an anchor since the first day he started at ATS and 5 years later he’s become one of our most knowledgeable and trusted therapists.  He has qualities that promote continuous improvement for his patients, our company and himself that is evident in everything he does.  Thank you Jude for your commitment to ATS and your patients, you’re a big reason why most agencies in the greater Beaumont area choose us to treat their patients!

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Pictured:  Dexter (Co-Owner, Left), Jude (PTA, Center) and Rob (Co-Owner, Right)

Gisely has dedicated the last 5 years of her professional career to Alliance Therapy Services, she embodies our mission by providing excellent care to our patients everyday!  I don’t think we could count the numerous compliments we have received about Gisely’s clinical excellence and positive demeanor over the years; she strives to be more than a PTA to her patients and is often looked upon as family to those she cares for.  Thank you Gisely, without clinicians like you all we are is a good idea and a logo!

 

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Pictured:  Gisely, PTA (left), Dexter, Co-Owner (right)

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Alliance Therapist Spotlight

 

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Hello everyone! My name is Ashish and I have recently moved to Southeast Texas. I was born in India but raised in the great state of Maryland. While in high school, I played a lot of sports and unfortunately tore my ACL twice. Needless to say, I was devastated. It was at this juncture in my life where I was first introduced into the world of physical therapy and how it played a vital role in athletes getting back to functional activities. I ended up graduating with my undergraduate degree in Biomedical Science and my next step was medical school. I quickly realized however that medical school was not where I belonged. I decided that instead of becoming a medical doctor, I would become a doctor of physical therapy. So I applied and was accepted to Andrews University in Berrien Springs, Michigan. As soon as I entered those hallowed halls, I knew that this profession was where I belonged.

 

I got to work in an acute setting at Porter Adventist Hospital in Denver. It was here that I started to realize that working with people other than athletes was actually quite exciting and fulfilling. On my last clinical rotation, I got to work at Community Rehabilitation Hospital in Indianapolis. Community was an in-patient rehabilitation hospital and I worked exclusively on the brain injury unit. It was during this time that my love for working with neurological patients was kindled. I had the opportunity to perform several home evaluations and recognized all the struggles that my patients had to endure once they left the hospital and returned back home. In August of 2014, I graduated with my doctorate and officially became a Doctor of Physical Therapy.

 

Here is where Alliance Therapy Services comes into my story. ATS was extremely supportive while I was studying for my national board exams. The office staff made my transition extremely painless and answered all of my questions, even after official working hours. The other therapists were always willing to lend a helping hand and assist me through my day. Even the owners made themselves available to us. I am extremely blessed to be part of a company that values the patient experience above all else and treats me more like family than an employee.

 

When I clock out, I can usually be found in the kitchen trying to cook something new or devouring something else. Then I usually try to burn off all those calories by playing sports!

We just wanted to take the time to introduce a new area of our website – /jobs

We will use www.alliancetxs.com/jobs to share the current opportunities within ATS.  If you would like more information on a position please use the application process linked on that page and follow up with a phone call to the branch you are applying to.  We would love to hear from anyone who is interested in starting or continuing their career with ATS!

Alliance Therapist Spotlight

 

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Hello everyone! My name is Sabrina Butts and I am a L-COTA (licensed certified occupational therapist assistant). I was born and raised in Roswell, NM (insert alien jokes), and have been practicing Occupational Therapy (OT) for 20 years this past May. I am married and we have 2 sons, my oldest son just recently made me a very proud Army mom (Hooah!).
I have worked in every possible domain of OT from LTACH, inpatient rehab, outpatient rehab both pediatric and adult, OT Department head for inpatient rehab, area regional manager for nursing home setting (over 14 facilities), work hardening, and the school systems. I have always done side work with home health, seeing a few visits each week. Home health is my favorite and yet, the most challenging by far!
I decided to do home health full time in 2009, which lead me to meet Dexter Simmons in 2010. I have worked with ATS since we opened and have enjoyed watching the growth of ATS the past 4 years. We started out small, however, our reputation would not allow us to go unnoticed and the whirl wind started, we are growing faster than I would have ever imagined. Knowing that I work with some of the very best therapist in the area makes me love my profession even more!
After my patients and/or colleagues find out I live in Sulphur Louisiana, I get asked why do I choose to work in the Golden Triangle. My answer is simple, “ATS is in Texas not Louisiana”. I have said this before and it’s still true, ATS is my last job, the one I will retire from, happily!

Alliance Therapy Services is happy to participate and show our support of ALS research, both monetarily and through pouring ice cold water over our heads!  Amyotrphic Lateral Sclerosis (ALS), commonly called “Lou Gehrig’s Disease”, is a disease process that affects the motor neurons of individuals who suffer from it.  The disease is progressive and its effects are severe.  Combined with the poorly understood nature of this condition, ALS research is of vital importance and deserves to be spotlit.  ATS will gladly donate to this cause and challenge anyone else who can, to do so as well.  We hope you enjoy watching the ATS Admin Team participate in this challenge!  You can find a link to donate below.

Donate Here:  http://www.alsa.org/donate/

 

 

Alliance Therapist Spotlight

 

Keeping up with the Therapist Spotlight!  Everyone, meet Ben!

 

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Hey everybody! My name is Ben and I imported myself to SETX two years ago from the Northeast.  I was born and raised in Upstate New York in a small town called Greenwich, where cows outnumber the town population and agriculture is the main industry.  While in high school, I suffered countless ankle sprains playing basketball & soccer which opened my eyes to the world of physical therapy from the patient’s perspective. After 18 years in Greenwich, I was accepted by Springfield College in Springfield, Massachusetts in the Doctorate of Physical Therapy program.  Springfield’s accelerated DPT program allowed me to obtain a minor in nutrition and my DPT after 6 1/2 years.

Clinical affiliations during my DPT education in Birmingham, AL and Chapel Hill, NC gave me a taste of the south and a hunger for more.  After graduation in the summer of 2012, I decided to pursue Traveling PT which landed me in SETX and introduced me to ATS.  I had also experienced home health in the Lakes Area and I was employed in a couple skilled nursing facilities and in a convent, located in the North Shore area of Massachusetts. The core of values that ATS is founded upon, as well as the flexibility of the mobile work environment, are two of many positive attributes that drive me provide Southeast Texans with the best quality of care possible. I value ATS for giving me the opportunity to grow as a clinician and turn me into the young professional I am today.

When I’m not evaluating and treating patients, you can find me fishing on Rayburn, attending the local farmer’s market, hitting the links for a round or two, or enjoying a cold beverage at the beach!