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Long Term Care Information Series

Determination of Medical Necessity of Rehabilitation Therapy Services

Medicare defines medical necessity as a determination that a service is reasonable and necessary for the diagnosis or treatment of illness or injury. However, the use of this term in health care settings is controversial and often confusing. Applying the concept of medical necessity to rehabilitation thera...

Clinical Practice Guidelines (CPG)

Diabetes Management CPG

Residents of post-acute and long-term care (PA/LTC) facilities who have diabetes often take multiple medications and experience frequent infections, high rates of cardiovascular complications, dehydration, hospitalizations, hyperosmolar states, and physical and cognitive disability. A comprehensive approa...

Assisted Living Series

Diabetes Management for the Older Adult

PALTmed has created a training program and tool kit for ALC staff as well as family caregivers to help them care for older adults with diabetes. Our goal is to keep these older persons with diabetes in the most independent living environment possible. Following the recommendations and using the tools in th...

Clinical Practice Guidelines (CPG)

Falls and Fall Risk CPG

This tool guides physicians, other practitioners, and staff in assessing and managing individuals who have a recent history of falls or who are at risk of falling. This CPG will help identify ways to modify some of the risk factors for falls, as well as identify ways to adjust the patient's environmen...

Clinical Practice Guidelines (CPG)

Gastrointestinal Disorders CPG

Although aging has relatively minimal effects on gastrointestinal (GI) function, age-related changes can cause or contribute to several GI disorders. Aging can result in impaired function of the gastric mucosal barrier and increased risk of peptic ulcer disease. Patients residing in PALTC facilities typica...

Practice Management Tools

Guide to Post-Acute and Long-Term Care Coding, Reimbursement, and Documentation

Extensively updated to reflect major E/M coding changes for 2023, The Guide to Post-Acute and Long Term Care Coding, Reimbursement, and Documentation, is a popular and must-have publication that contains important documentation and medical decision making requirements as well as one or two Society-develope...

Clinical Practice Guidelines (CPG)

Health Maintenance CPG

Health maintenance in post-acute and long-term care (PALTC) settings incorporates systemic, proactive approaches that promote patients’ physical, emotional, psychological, cognitive, and functional integrity. Early detection and prevention of illness may reduce morbidity and mortality in the elderly. Stan...

Clinical Practice Guidelines (CPG)

Heart Failure CPG

Heart failure is one of the most common reasons for new or recurrent hospitalizations among persons over 65 years of age. Considerable progress has been made during the past decade in providing symptomatic relief for such patients. By implementing the processes and practices outlined in this guideline (wit...

CPG Implementation Series

Heart Failure CPG, Implementation Manual, and HF Pocket Guide

This implementation manual delineates a systematic, well-planned implementation process for implementing the PALTmed Clinical Practice Guideline (CPG) for Heart Failure. It is designed to assist physicians, nurses, and advanced practitioners to support evidence-based clinical and management decision-making...

CPG Pocket Guides

Heart Failure Pocket Guide (Set of 5)

This quick reference provides healthcare practitioners and providers instant access to the current PALTmed Heart Failure (HF) Clinical Practice Guideline in a clear concise format. MIPS HF Process Measures are included along with Outcome measures. The ACC/AHA stages of HF and the New York Heart Association...