As this year comes to an end, some may wonder where the year has gone!?  But others may think back through the year and look at all that was accomplished.

We have lived our values, made it through yet more changes to report on the MDS, tackled reporting of the Functional Limitations (G-Codes and Severity modifiers), strengthened our relationships by successfully ensuring our therapists and clients were up to speed on regulatory changes as well as what is happening on Capitol Hill.  We have focused on wellness for self-improvement, exhibited innovation in our departments, and provided superb care. Also, we have taken responsibility and advocated for our residents/patients by encouraging Congress to extend the therapy caps while an improved payment system for therapy services is developed.  There are so many other accomplishments I could list….do you have any to share?  If so, please leave a comment! I would love to hear from you!

Some of us are optimistic about the future of therapy reimbursement after President Obama recently signed of the Pathway for SGR Reform Act of 2013 (for more information, click on Sheila’s blog). Others are feeling down because there will still be a manual medical review process.  As I always say, “With each new day, there is fresh hope!”

Isn’t that the way it is in our setting though?  It’s fluid, it’s a challenge, and it is so rewarding!!—We do it because we have a passion for providing care to those who need our services the most—our seniors.  We are all committed to improving the quality of lives every single second of every single day, despite the chaos of our leaders making clinical decisions based off of financials.

Don’t fret! Our leaders understand that the system is broken and are trying to work together for an improved system. They are sick and tired of dealing with part B caps/exceptions process among other things, just like we are.   As long as we work together, anything is possible!

“Let our New Year’s resolution be this: we will be there for one another as fellow members of humanity, in the finest sense of the word.”Goran Perrson (

I hope you have enjoyed my blogs this year! I look forward to seeing you next year!

Wishes for a Safe, Healthy, and Happy New Year!

Gina Tomcsik

Director of Compliance

Functional Pathways