According to Nutrition Research, a pilot study consisting of 200 nursing homes residents revealed that black choke berry juice has been found to reduce the rate of urinary tract infections. Read More


Missouri Representative introduces legislation to reduce Medicare red tape and improve access to home health therapy services.


    In the last week of June 2018, U.S. Rep. Jason Smith (MO-Dist. 8) has introduced the Medicare Home Health Flexibility Act (H.R. 6225), which will eliminate an unnecessary Medicare restriction and allow occupational therapists to open home health therapy cases by conducting the initial assessment and completing the required comprehensive assessments under Medicare.
    According to Smith, this bill would eliminate a Medicare restriction that is needlessly burdensome on patients and home health therapy providers and will increase access to care without costing the government a penny.
  Current restrictions on Occupational Therapy means that home health therapy services are often delayed if the agency does not have a physical therapist or speech language pathologist available to initiate services on a given day.
  Occupational therapy has long been a valued component of home health care due to therapists' expertise in identifying home safety issues and in establishing routines to maximize a client's ability to follow his/her plan of care. This legislation recognizes those contributions and seeks to address the arbitrary restrictions currently in place.

2018 Physician Fee Schedule (PFS)

CMS issued the final rule on PFS on November 15, 2017, and it’s not all good news for PTs, OTs, and SLPs.

What’s new?

  • Some CPT values are going up while others are being cut.
  • Cuts range from 1.3% to 2%.
  • Increases may not offset cuts
  • Commonly used therapeutic exercises (PT/OT) will see a drop while therapist activities and NMR (PT/OT) and gait training (PT) see some increase.

Overall losses and gains will depend on patient mix.


Therapy caps remains.  Calculated by adding the previous year cap by the Medicare Economic Index (MEI) for the upcoming calendar year and rounding to the nearest $10.00.  This means an increase from $1,980 (2017) to $2,010 (2018).


To read more click on this website at:

Hospital Readmissions

The importance of determining the best path for patient care after hospital discharge cannot be overstated.  According to Care Centrix (

75% of costly hospital readmissions are preventable 40% of patients discharged to Long-term care facilities did not need to be 1 out of 5 Medicare patients discharged from hospitals are readmitted within 30 days, causing a >$17 billion annual waste 69% of patients who are on a new drug at discharge only ½ understand the potential complication


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Home Health Update

  • Occupational Therapy
  • Physical Therapy
  • Speech and Language Pathology