Encore Keynote - May 2021

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Cognition and Swallowing Among the Common Challenges Persisting for Many Americans After COVID-19
Speech-Language Pathologists Can Help Patients Regain Health and Quality of Life
With an estimated 10 to 30% of COVID-19 survivors experiencing “long-haul” symptoms including brain fog and swallowing difficulties, Encore’s qualified speech-language pathology experts are actively helping recovering residents regain their functioning and quality of life. We are sharing this message in recognition of May being national Better Hearing & Speech Month (BHSM).
The pandemic has posed so many challenges to us all as a society, but one of the persisting and most vexing ones right now is the daunting set of difficulties many people are having for months after contracting COVID-19. From brain fog, to difficulty eating and drinking, to speech and language problems, these can affect return to work, the ability to take care of one’s family, and overall recovery. Many people don’t know about the services of speech-language pathologists—professionals trained in these areas who can make a huge difference for these people. This is an important time for us to spread the word: Help is available.
How SLPs Help
Speech-language pathologists (SLPs) can help people with, or recovering from, COVID-19 who are having short- and longer-term difficulties in the following areas:
Many COVID-19 “long-haulers” are reporting persistent brain fog as a debilitating symptom after their bout with the virus. This can prevent a return to work and impact their ability to tend to family responsibilities. SLPs can work with individuals to improve their memory, attention, organization and planning, problem solving, learning, and social communication—such as re-learning conversational rules or understanding the intent behind a message or behind nonverbal cues. The focus is on the person’s specific challenges as well as regaining the skills that are most important to their daily life and priorities.
People diagnosed with COVID-19 may experience swallowing problems that can put them at risk for choking or aspirating, which is when food goes into the lungs instead of the stomach. This may be the result of time spent on a ventilator, or it may be another side effect of the virus. SLPs use different types of tests to determine what happens when a person swallows and how the related muscles are working—helping a patient’s medical team, including the SLP, decide on the best course of action with the patient and their family. SLPs may recommend modified textures of food and drink for patients; therapy exercises to strengthen the tongue, lips, and muscles in the mouth and throat; and strategies to make eating and drinking safer, such as modifying the pace of chewing/eating, size of food, and more.
People diagnosed with COVID-19 are also experiencing speech and language difficulties. Some, such as those who spent a significant amount of time on a ventilator or experienced low oxygen to the brain, may have muscle weakness or reduced coordination in the muscles of the face, lips, tongue, and throat—making it difficult to talk. Others, particularly those who experienced a COVID-related stroke, may experience a language disorder called aphasia—which makes it hard for someone to understand, speak, read, or write. SLPs work with patients through targeted therapy to improve their communication and understanding.
People who have severe speech and/or language difficulties may need to find other ways to answer questions or tell people what they want, such as through gesturing with their hands, pointing to letters or pictures on a paper or board, or using a computer. These are all forms of augmentative and alternative communication (AAC). SLPs help find the appropriate AAC method to meet an individual’s needs.
Where to Find Care
SLPs work in settings that include hospitals, long- and short-term care facilities, private practices, and patients’ homes. Many SLPs are also providing their services via telehealth at this time. If you or a loved one are experiencing communication challenges, we recommend letting your doctor know.
For more information, visit www.asha.org/public
Encore’s COVID Pandemic and SLP Impact: SLP 3 - part Educational Series
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A lot of denials are due to CMS deleting the 59 modifier requirements/NCCI edit changes which have been deleted/reinstated by CMS and the managed care plans are not changing their systems to process with CMS changes.
We are still seeing authorization denials; and denials for Section GG coding not being supported.
Part A review findings- Legacy customers (who we appeal nursing findings for) have received denials for coding of malnutrition on the MDS and for coding of dressings/application of ointments to feet. 
There is a particular RAC (SCIO) that loves to focus on the content and completion of the SNF certs, so those are being appealed with attestations.


FY2021 Updates to the QRP and SNF Provider Preview Report - we’ve got tools to help you interpret your SNF Provider Preview Report.
Inspect What You Expect       
Does the admission and discharge MDS reflect an accurate picture of the patient? The DC assessment is key for outcomes.
QAPI Tool Kit
Knowing whether to develop a PIP or a QAPI
If interested, contact your Encore Regional Vice President or Encore business development ([email protected]) to see how we can help.



Tips for Correct Section K

CLICK HERE to see the most common SLP ICD10 Codes





       Please email Ryan Jones for additional information: [email protected]