A story from Signature Rehab
Download the full story
“OneStep has transformed our restorative nursing programs — now we instantly spot changes in mobility and act fast. Collaborating with entire care teams and monitoring patients on and off therapy has never been easier.”
Christine Busby, MS, CCC-SLP, MBA, Chief Operating Officer, Signature Rehab
Signature Rehab is a family-owned contract therapy company working across the post-acute continuum in 10 states. It came to OneStep with three goals: fewer falls among long-term residents, a reliable way to spot Medicare Part B residents who should return to skilled therapy, and a new revenue stream through Remote Therapeutic Monitoring. Ninety days later it had all three.
Therapists learned about declines and fall risk from nursing reports and quarterly screening — slow for the team, reactive for residents. Once a resident was discharged to a Restorative Nursing Program, the therapy team lost sight of them unless they asked nursing for an update. Every missed decline was also a missed clinical opportunity: a resident who should have been back on skilled therapy, and wasn't.
Residents are measured on ordinary walks with a phone, routinely, and the care team is notified automatically when fall risk or function changes. Restorative nursing assistants record measurements in the OneStep app as they carry out the restorative plan, so therapists keep seeing how a resident is doing after discharge. When the data shows a decline, it also makes the case for a Part B referral back to skilled therapy — and the same measurements qualify for RTM reimbursement.
In the first 90 days, fall events among residents fell 31%. OneStep identified 42% of residents not on therapy as clinically in need of it, Part B referrals to skilled therapy rose 13%, and 18% of residents on restorative programs were referred back to therapy. Those referrals brought in $12,000 in Medicare Part B revenue — eleven times what Signature Rehab spent on OneStep. And because fall prevention came first, a further $10,500 a month in RTM revenue was already there to be billed.
Screening stopped being a quarterly event and became a continuous signal.
“OneStep provided us with the visibility we needed to stay on top of clinical opportunities that without OneStep could have gone unnoticed.”
Anne Martin, OTR/L, Rehab Services Manager, Signature Rehab