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Does Medicare Like Percentages in Goals?

Kathleen Weissberg, OTD, OTR/L

March 26, 2015

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Question

Does Medicare like percentages in goals?

Answer

I think it depends on the goal and how it is that you are phrasing it.  If you said with 80% accuracy or it is a caregiver goal where you are training them and you want them to have 95% return demonstration, you can clearly show in your documentation a number of trials and how they are performing.  I think where it gets a little tricky with percentages is if you are trying to break down min, mod, or max assist to a percentage.  Realistically, what is the difference between 25% physical assist and 30%?  I think if you are focusing it on trials or the number of times that you are giving verbal cues, I do not think it is a horrible thing.  I have not seen that Medicare has specifically denied based on percentages.

 


kathleen weissberg

Kathleen Weissberg, OTD, OTR/L

Dr. Kathleen Weissberg, (MS in OT, 1993; Doctoral 2014) in her 25+ years of practice, has worked in rehabilitation and long-term care as an executive, researcher and educator.  She has established numerous programs in nursing facilities; authored peer-reviewed publications on topics such as low vision, dementia quality care, and wellness; has spoken at numerous conferences both nationally and internationally, for 20+ State Health Care Associations, and for 25+ state LeadingAge affiliates.  She provides continuing education support to over 17,000 therapists, nurses, and administrators nationwide as National Director of Education for Select Rehabilitation. She is a Certified Dementia Care Practitioner and a Certified Montessori Dementia Care Practitioner.  She serves as the Region 1 Director for the American Occupational Therapy Association Political Affairs Affiliates and is an adjunct professor at both Chatham University in Pittsburgh, PA and Gannon University in Erie, PA. 


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