Glow Magazine Article- Castle Peak

Posted in Blog, Published Articles, Uncategorized at Sep 8, 2017

Centrex Rehab is pleased to share an article about Castle Peak that was published in Glow magazine about aging gracefully. Please click the below link to access the article.

 

Glow magazine article – Castle Peak

Utilization Management – Friend or Foe to Accessing Necessary Treatment

Posted in Administrative, Blog at Aug 11, 2017


 

Matthew Mesibov, PT, GCS
Clinical Physical Therapy Specialist

 

Have you ever been told that you can no longer have therapy services because the insurance company is denying payment for services? If so, what may be at work is “Utilization Management”.

Utilization management (UM) was defined in 1989 by the Institute of Medicine (now the National Academy of Medicine) as “a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient-care decisions through case-by-case assessments of the appropriateness of care prior to its provision.”[1]

Though perhaps well intentioned, over the years as UM has increased, treating cost of care as an outcome metric may lead to overzealous prospective or retrospective denial of care or payment.

So, why has UM grown so much over these past few years? Upon passage of the Affordable Care Act (ACA) in 2010, health care purchasers (employers and individuals) were faced with a new set of coverage requirements and began seeking effective ways to limit the risk of potentially high financial costs. Other contributors to UM’s growth include escalating overall health care costs, increased demand for rehabilitation benefits, wide variance in care, fraud and abuse, and the medical loss ratio (the percent of the premium that an insurer spends on claims and expenses that improve health care quality, as opposed to administrative activities).

If all this seems dizzying (or more than you wanted to know), you as a consumer of rehabilitation services should know the following: typically, all health insurance payors are required to have an appeal process. This may include you as the consumer contacting them as well as your health care provider contacting the payor either by phone or by completing a form to appeal the denial decision.

The most important thing is to question your health care provider as to why services are ending if you feel it has not been explained well enough. Ask about available appeal processes if this information has not been offered. You must be a strong advocate for yourself!

 

[1] Institute of Medicine. Controlling Costs and Changing Patient Care? The Role of Utilization Management. National Academies Press, 1989.

This blog has been written in part based on information from the American Physical Therapy Association.

 

This months Solution’s Highlight is on Access Solutions!

Posted in Administrative, Blog at Jul 25, 2017

Centrex Rehab delivers a comprehensive approach to care and has developed a broad range of therapy solutions for skilled nursing communities, housing for older adults, assisted living, hospitals, clinics, schools and other venues. This month’s solutions highlight is on Access Solutions.  Access Solutions provides universal design consulting services to promote active, safe and independent living for people of all ages and abilities. Please see the below flyer for detailed information about what Access Solutions can offer to help with independent living for people of all ages.

Centrex Access Solutions

 

 

 

 

Centrex Rehab is pleased to announce The EverActive Wellness Club was featured on the SAIL Seminar website

Posted in Blog, Company News, Uncategorized at Jul 12, 2017

The SAIL Program, Stay Active and Independent for Life, is one of the evidence-based falls prevention programs that is offered through Centrex Rehab’s EverActive Wellness Club. An excerpt of the article is below:

“SAIL Seminars provided the initial training for Centrex Rehab staff in 2013.  Centrex Rehab then began to disseminate SAIL into the community in 2014, in a few independent and Assisted Living Communities through their EverActive Wellness Club.  Centrex Rehab continued to expand the number of SAIL Programs; these programs can now be found in two Skilled Nursing Facilities, as well as sixteen Independent / Assisted Living Communities.”

The full article can be found at: http://www.sailseminars.com/centrex-rehab/

 

 

 

 

 

Announcement: Three of Our Physical Therapists are now board certified Geriatric Clinical Specialists!

Posted in Blog, Company News, Physical Therapy at Jun 27, 2017

We are proud to announce that 3 of our Physical Therapists are now board certified Geriatric Clinical Specialists through the American Board of Physical Therapy Specialties. Kristen Reed, PT, DPT, GCS at Aurora on France, Katie Fandrey, PT, DPT, GCS at Martin Luther Care Center and Natalie Howard, PT, DPT, GCS at Augustana Care Health and Rehabilitation of Apple Valley completed geriatric residencies this past year and successfully passed their specialty board examinations. Kristin and Katie completed the University of Minnesota Geriatric Residency and Natalie completed the Geriatric Residency at Creighton University.

Centrex Rehab is so happy and proud to have you on our team serving the older adult population. We look forward to your continued contributions and leadership growth in the field of physical therapy and at Centrex Rehab!

 

Centrex Rehab Adds Fourth Owner BEK LLC

Posted in Blog, Company News at Jun 13, 2017

Centrex Rehab Adds Fourth Owner BEK, LLC to Serve More Older Adults

 

Since launching in 2012, Centrex Rehab’s mission of providing quality-based services to enhance individuals’ abilities to live their best lives has led to rapid growth. Now, Centrex is being joined by a fourth owner and will increase the number of employees from 420 to 500. New owner BEK, LLC consists of three nonprofits: Bethany Retirement Living, Eventide Senior Living Communities and Knute Nelson, which all serve older adults. BEK will enable Centrex to expand to West Central Minnesota and Fargo, North Dakota.

 

“Bethany is proud to partner with Centrex Rehab due to their comprehensive approach to care and outstanding resident and patient customer service,” says Bethany Retirement Living CEO Shawn Stuhaug.

 

“I am extremely honored to be joining with BEK to bring rehabilitation and therapy services to more people in both rural and metropolitan areas,” adds Centrex CEO Kristy Brown. “Adding a new owner is part of our strategic plan to increase the number of people we can serve.” Earlier this year, Centrex Rehab was joined by a third owner, Volunteers of America, and was originally launched by Augustana Care and Ebenezer.

 

Centrex Rehab’s strategic goals include the following:

  • To be a leader in the rehabilitation field with high customer satisfaction scores and offer at least one new solution to meet clients’ and patients’ needs
  • To be an employer of choice offering competitive salaries and benefits, retaining at least 75% of staff members, score well on staff surveys and offer educational programs for clinical growth and attainment of educational credits several times a year
  • To meet or exceed the annual budget and maximize reimbursement legally and ethically at every community
  • To increase growth internally and externally using social media and marketing strategies

 

Because BEK offers a continuum of care for older adults involving independent and assisted living, memory care, rehabilitation, day services and more, Centrex Rehab can reach more older adults in need of housing, health care and community-based services than ever before.

 

Eventide President and CEO Jon Riewer is also looking forward to joining Centrex Rehab. “Eventide is excited to be working with Centrex in the delivery of therapy services for our Fargo-Moorhead and Jamestown communities,” he says. “Through a unique ownership model, this partnership allows us the opportunity to work with one of the best therapy providers in the business, expand our programming, and facilitates a more local voice in the delivery of therapy services.”

 

“Our mission of ‘enriching lives’ is top of mind when creating a partnership such as this one with Centrex Rehab,” says Knute Nelson President and CEO Mark Anderson. “Their reputation for providing high quality care therapy services and using best practices to do so is why they are the perfect fit for this collaboration, one that will ensure we can continue to enhance the quality of care for the individuals we serve.”

 

Centrex Rehab is working with BEK to achieve a smooth transition and expects most of BEK’s employees to stay on in their new roles. For more information or to interview Kristy Brown, please contact kbrown@CentrexRehab.com or (952) 495-6001.

 

About Centrex Rehab

 

Centrex Rehab provides quality based services to meet individual clients’ needs and enhance their abilities to live their best lives. Clients can find a broad range of therapy solutions for skilled nursing communities, senior housing, assisted living, hospitals, clinics, schools and other venues. As a certified rehabilitation agency, Centrex Rehab delivers a comprehensive approach to care including:

  • Contract provision of full service rehabilitation: management, physical therapy, occupational therapy and speech therapy
  • Staffing/recruiting to fill open positions and meet short-term or long-term staffing needs
  • Management consultation
  • Medicare compliance consultation
  • Home modification services by certified staff to meet individual accessibility needs
  • Cognitive screening/testing to allow for better case management of clients and caregivers
  • Other specialty areas including wheelchair clinics, massage therapy and lymphedema specialists

 

Centrex Rehab allows providers to maximize efficiencies, reduce administrative costs and assure consistent, quality patient care. To learn more, visit www.centrexrehab.com or call 952-495-6000.

 

About BEK

 

BEK, LLC is a company consisting of three nonprofit organizations which serve older adults and offer housing, health care and home health services: Bethany Retirement Living, Eventide Senior Living Communities and Knute Nelson.

Volunteers of America Joins Centrex Rehab as Third Owner

Posted in Blog, Company News at Feb 2, 2017

Centrex Rehab is honored to announce a new development that allows the company to nearly double in size and reach more people who need care than ever before.

As of February 1, 2017, Centrex Rehab has been joined by another owner after Volunteers of America bought into the company. The main factor influencing this decision is how closely aligned the missions of Centrex Rehab and existing owners Augustana Care and Ebenezer are with that of Volunteers of America.

Joining with Volunteers of America strengthens Centrex Rehab’s mission to provide quality based services to meet individual clients’ needs and enhance their abilities to live their best lives. “We’re excited to begin this new journey as we integrate our work into Volunteers of America’s various buildings and entities across multiple states,” adds Brown.

Centrex Rehab is now able to provide services in numerous areas where the national human services provider offers independent living, assisted living and skilled nursing services. “We look forward to the relationship and engagement with Centrex and what it will bring to Volunteers of America in the changing health care world, knowing we will be stronger together,” says Volunteers of America Executive Vice President-Health Care Operations Wayne Olson.

Both organizations are working together to ensure a smooth transition and Brown anticipates that services to clients will continue without interruption. For more information or to interview Kristy Brown, please contact Jenna at jzark@CentrexRehab.com or 612-238-8552.

 

About Centrex Rehab

Centrex Rehab provides quality based services to meet individual clients’ needs and enhance their abilities to live their best lives. Clients can find a broad range of therapy solutions for skilled nursing communities, senior housing, assisted living, hospitals, clinics, schools and other venues. As a certified rehabilitation agency, Centrex Rehab delivers a comprehensive approach to care including:

Contract provision of full service rehabilitation: management, physical therapy, occupational therapy and speech therapy
Staffing/recruiting to fill open positions and meet short-term or long-term staffing needs
Management consultation
Medicare compliance consultation
Home modification services by certified staff to meet individual accessibility needs
Cognitive screening/testing to allow for better case management of clients and caregivers
Other specialty areas including wheelchair clinics, massage therapy and lymphedema specialists
Centrex Rehab allows providers to maximize efficiencies, reduce administrative costs and assure consistent, quality patient care. To learn more, visit www.centrexrehab.com or call 952-495-6000.

 

About Volunteers of America

Volunteers of America is a national, nonprofit, faith-based organization dedicated to helping those in need live healthy, safe and productive lives. Since 1896, our ministry of service has supported and empowered America’s most vulnerable groups, including veterans, seniors, people with disabilities, at-risk youth, men and women returning from prison, homeless individuals and families, those recovering from addictions and many others. Through hundreds of human service programs, including housing and health care, Volunteers of America helps almost 2 million people in over 400 communities. Learn more at www.voa.org.

Overly High Expectations Impact on Residents & Therapists on McKnight’s Long Term Care Blog

Posted in Blog at Nov 12, 2015

Kristy Brown, Centrex Rehab’s President & CEO, wrote a guest column for McKnight’s Long-Term Care Blog in November titled “Efficiency and Overly High Expectations Hurt Residents and Therapists”. The column discusses how overly high expectations, especially in regards to billing efficiency, can cause burnout, pressure to make poor choices, and in general diminish quality of patient care and employee satisfaction. An excerpt is below and the full column can be found here.

The higher expectations are for billing efficiency, the greater the chance will be for inappropriate ethical and moral decision making. If a therapist is required to achieve a certain level of efficiency in billing-and knows that if this doesn’t happen, he or she will be reprimanded by a supervisor-a wrong decision can easily be made. More specifically, therapists may feel pushed to make poor choices and allow billing to occur when care hasn’t happened.

Medicare wants to see distinctive, individualized care delivered to all patients. Every single evaluation and treatment should be specific for each individual. Again, if therapists work for a company with high efficiency expectations, the ability to individualize and differentially diagnose and treat could diminish significantly.

“Regulations That Misfire” on McKnight’s Long Term Care Blog

Posted in Uncategorized at Aug 28, 2015

Kristy Brown, Centrex Rehab’s President & CEO, wrote a guest column for McKnight’s Long-Term Care Blog in August titled “Regulations That Misfire”. The column discusses state regulations that do not work to support the healthcare community’s focus on the Triple Aim through the example of the state survey on Centrex Rehab’s agency status. An excerpt is below and the full column can be found here.

Regulations are a fact of life in the healthcare community – but can too many regulations prevent professionals from delivering on the promise of the Triple Aim? The goals of the Triple Aim are to provide better experiences of care for individuals, improve population health and reduce healthcare costs. That is what my agency expects of therapists and what we expect of management. It is a big part of our strategic plan as well as our business plan.

Then, along comes a state survey of our rehabilitation agency. Agency status allows us to go into sites such as adult day centers and assisted living communities. Once there, we can provide care through Medicare Part B and other payor sources because these care communities are not Medicare certified.
My company has had this agency status since 2002 and made it through all surveys deficiency free. With increased focus on the triple aim, we are attempting to meet the objectives set before us. This recent survey really opened my eyes to the need for regulations to be changed. 

“Keeping Your Staff Informed”, Kristy Brown & Centrex Rehab on McKnight’s Blog

Posted in Blog at May 15, 2015

Centrex Rehab’s President/CEO, Kristy Brown, wrote a guest blog featured on McKnight’s Long-Term Care News website. The column, “Keeping Your Staff Informed”, can be read here with an excerpt below.

Unless you haven’t had a health problem-or you have not been to a doctor or healthcare center in ages-you know the healthcare system is changing. You also know America spends an enormous amount of money on health care. To see it decrease, our government is attempting to make changes to allow for better care and better overall health for Americans while lowering costs.

The millions of patients who will benefit from these changes are the most important factor in explaining why this effort began. Proactive healthcare and maintenance will keep people healthier and therefore reduce overall costs. It all sounds relatively easy in theory. Of course, we know it’s not.

The main barrier we all face is how we communicate with and educate our population, which means providing good information to both providers and consumers. If consumers are educated and start looking for the most appropriate medical services, but the provider has not done a good job of educating staff, the system will break down.