Medicare Compliance with Nancy Beckley

PhysicalTherapist.com is proud to bring you the series “Medicare Compliance.” These articles are available on Nancy’s Blog located at www.nancybeckley.com. We hope you enjoy this content as much as we do. Please share, comment and interact with this series on Medicare Compliance.

PTAs Will be Authorized TRICARE Providers Beginning Mid-April

Continuing with a resource series via the JobsTherapy.com Content Staff — this article was originally found via the APTA. PTAs Will be Authorized TRICARE Providers Beginning Mid-April In a win for PTAs and OTAs, the Department of Defense
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Therapy TPE Audits Continue

Today's guest article comes Nancy Beckley, a compliance expert and consultant in our world of Physical Therapy. Earlier this year, Medicare Administrative Contractors (MAC) have quietly been reviewing therapy providers under the
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Appealing Medicare Denials – 5 Things You Must Know

Appealing Medicare denials is likely to be a reality for all outpatient therapy providers this year. Therapy over the 00 cap is subject to 100% mandatory medical review by the Recovery Auditors (RACs) through 3/31/2013.  In fact those reviews, if
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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 that are in contact with me have heard me speak at a webinar or perhaps have
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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 – E – F – G…………. Ok, stop right there! Which “G” did you mean?  One of 42 functional limitation reporting G
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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 to screen all enrolled providers
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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
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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
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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 health agencies.  It is fantastic to be able to look to peers when you
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