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Functional Limitation Reporting

Functional Limitation Reporting: More Claims Problems

Functional Limitation Reporting: More Claims Problems

Functional limitation reporting: more claims problems are being officially reported today – Wednesday, March 19, 2014.   When will it stop? The better question is when will it be resolved?  In a recent post  on functional limitation reporting, I discussed problems that were reported in the common working file that are scheduled to be corrected on Monday, March […]

March 19, 2014 4 Comments
Functional Limitation Reporting Claim Rejections

Functional Limitation Reporting Claim Rejections

Will it ever stop?  The problems with functional limitation reporting claim rejections that is.  Grant it, there are some confusing scenarios that create provider side problems in coding, but the bigger issue is the continued problems with CMS and the Medicare Administrative Contractors adjudicating claims.  Because of the difference in reporting and adjudication for those reporting on the […]

March 13, 2014 8 Comments
Writing Functional Therapy Goals

Writing Functional Therapy Goals

Are you writing functional therapy goals?  I guess I better take that a step back and ask if you are accurately writing functional therapy goals for a Medicare Plan of Care.   Required elements of the Medicare Plan of care include 1) Diagnoses; 2) Long term treatment goals, and 3) Type, amount, duration and frequency of therapy […]

March 11, 2014 5 Comments
Functional Limitation Reporting Trouble With Unplanned Discharges

Functional Limitation Reporting Trouble With Unplanned Discharges

Trouble, trouble I say in River City, that is trouble everywhere you look with functional limitation reporting and unplanned discharges.  Not quite the problem that Professor Harold Hill faced, but let’s sing along with a chorus of  “76 Trombones”. In a nice neat world, all patients continue with therapy until their planned discharge, and there […]

March 3, 2014 2 Comments

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Compliance

Top 3 Essential Compliance Components

Top 3 Essential Compliance Components

Do you have the top 3 essential compliance components in your therapy program or practice?   You may have a compliance plan that you wrote, or purchased a compliance program off the shelf, or maybe your compliance program consists of chart audits and quality reviews.  The Office of the Inspector General (OIG) has provided Compliance Guidances […]

July 31, 2014 0 Comments
Medical Record Corrections and Amendments

Medical Record Corrections and Amendments

Do you know how to make medical record corrections and amendments?  CMS refers to information that occurs following the visit documentation as “amendments”.  Did you ever finish a note only to discover several days later that you forgot to add something?  Whether on a paper and pencil system or electronic medical record system (EMR) there is specific guidance on […]

July 24, 2014 2 Comments
Three Tips When Converting to A Therapy EMR

Three Tips When Converting to A Therapy EMR

Are you in the process of converting to a therapy electronic medical record (EMR)?  Or perhaps you are still considering which EMR program you will select?  Regardless of where you are in the process, you will need these three tips when converting to a therapy EMR.  But first, before I share three tips when converting to […]

July 22, 2014 0 Comments
New Option in Medicare Appeals

New Option in Medicare Appeals

Do you have appeals pending in the Medicare appeals process?  Are you aware there is a new option in Medicare Appeals if you meet certain criteria?  There is a good possibility that many therapy providers that went over the $3700 therapy thresholds and  were denied have reviewed their medical documentation and made a decision regarding appeals.  […]

July 17, 2014 0 Comments