Appealing Medicare denials is likely to be a reality for all outpatient therapy providers this year. Therapy over the $3700 cap is subject to 100% mandatory medical review by the Recovery …
Therapy PQRS Panic
It seems like therapy PQRS panic is setting in, and setting in fast. I am hearing from practices from Minnesota to California to Florida and parts in between. Most folks …
Medicare G Code Confusion
Hum along with me, Big Bird, Grover, Cookie Monster, and the cast of Sesame Street in the Alphabet Song. Are you humming? A – B – C – D – …
Medicaid Exclusion Checks
CMS issued a State Medicaid Director Letter (SMDL) in 2009 recommending that States require providers to screen all employees and contractors monthly. However in 2011, CMS issued final regulations mandating States …
Importance of Checking Exclusions
Checking exclusions is a key component of any viable compliance program. The Office of the Inspector General (OIG) of the US Department of Health and Human Services maintains a list …
OIG 2014 Work Plan Includes Physical Therapy
The Office of the Inspector General (OIG) published their 2014 Work Plan in the end of January. The OIG 2014 Work Plan includes physical therapy. Physical therapists in private practice have once again …
Rehab Compliance Confidential
Problems come up all the time in the therapy world and people look to their peers for help, support and resources, whether at hospitals, private practice, nursing home or home …