Medicare abuse?

I work in a SNF and recently have seen a trend. Extensive remedial therapies ordered (PT,OT,ST.) for patients who have remained at the same physical level for many years, mostly patients in their eighties, nineties.

We have an excellent Remedial nurse's aide program for ROM, ambulation with assisted device etc. but licenced therapists?

I see braces, special shoes etc. ordered for people, some with severe footdrop,

who have not walked for twenty years.

Apart from the very high cost of this specialized equipment facilities are paid at a higher rate for patients receiving any kind of Medicare approved treatment.

Isthis good care or a way to make more money?

I would appreciate opinions on this.

Its like everything else right now! all about the money!

its not good care in most cases, its very sad but true :angryfire