Nancy Beckley & Associates LLC is a rehab compliance consulting firm providing consulting and training services, as well outsourced compliance services to therapy clinics, home health agencies, DME suppliers, contract therapy companies, SNFs and other rehab professionals. The regulatory environment of Medicare, the ever-changing environment of managed care, and the constant need to develop and implement effective marketing strategies [...]
RAC ‘n Rehab© Series – RACs and rehab have another new beginning as a result of the CMS decision to have the Recovery Auditors (RACs) take over manual medical review of outpatient therapy claims over the $3700 threshold. Connolly, the Region C RAC, is the first of the four regional RACs to post issues related [...]
Why Compliance Policies? Healthcare providers have become aware of the substantial adverse consequences that result from healthcare fraud and abuse that have reported by the U.S. Department of Justice, the Office of the Inspector General (OIG.) It is advisable to not only establish a Corporate Compliance Program to address and mitigiate the effects of potential [...]
Read Articles of Interest to Rehab Community. RAC ‘n Rehab© 4/9/2013: Connolly and Associates, the Region C Recovery Auditor (RAC) is the first of the 4 RACs to post the complex medical review of outpatient therapy: Manual Medical Review of Therapy Claims over the $3700 thresholds. Nancy Beckley’s breaking story appeared in the April 10th [...]
Have Nancy Beckley & Associates assist your Rehab Agency or Comprehensive Outpatient Rehab Facility (CORF) prepare for survey and certification. If it has been over a year since you have been reviewed, the agency responsible for Medicare surveys in your state can be knocking on your door at any time. Don’t wait to be surprised, [...]
Nancy Beckley is President of Nancy Beckley & Associates LLC providing consulting services to the rehab professional. Nancy is certified in Healthcare Compliance by the Healthcare Compliance Certification Board. Currently Nancy serves on the Board of Directors of the National Association of Rehabiliatation Agencies & Providers (NARA). She recently completed several years of service on the Part [...]
Why a Compliance Program? A compliance program will help providers in developing a “voluntary” compliance program that promotes adherence to statutes and regulations applicable to the Federal health care programs such as Medicare, Medicaid and ... Read More
Functional Limitation Reporting for Wound Care
Functional Limitation Reporting for outpatient therapy wound care presents a situation wherein the treatment is not aimed at restoring function, henceforth the therapist is not evaluating or treating functionional deficits in many situations. However the CMS mandate to collect outcome measures for all Part B therapy creates a situation wherein the functional G codes are [...]
Functional Limitation Reporting – for Pelvic Therapy Specialists
Tracy Sher, MPT, CSCS an Orlando based physical therapist specializing in the treatment of pelvic related problems (Sher Pelvic Health), working with Heather Edwards, MPT has identified impairment modifiers and cross walks for a number of tests and instruments. This has been a work in progress for Tracy, Heather and other collaborators who specilize in [...]
Functional Limitation Reporting – SLP Functional Limitation Categories
There are 8 functional limitation reporting categories for speech-language pathology, in addition to the 6 functional limitation reporting categories for physical and occupational therapy. The 8 SLP categories are designed to encompass the majority of functional limitations, and there is one additional category “SLP Other Primary Functional Limitation” that can be used in instances where one of the 7 main [...]
Don’t Get Caught in the RAC Trap: Effective April 1, 2013 Manual Medical Review = Recovery Auditors (RACs). Breaking News: Read the blog post on Connolly, the Region C RAC posting of 4 issues on manual medical review of therapy ... Read More
Call Nancy Beckley & Associates to schedule time for a complimentary consultation on compliance matters. You may have a need for general information on how a compliance program works, or questions over Medicare coding, billing ... Read More
CMS Posts FAQ on Manual Medical Review by Recovery Auditors (RACs)
CMS, without much fanfare, released a long anticipated Frequently Asked Questions document regarding manual medical review of therapy claims over the $3700 thresholds. The FAQ is in reponse to the questions posed by the therapy stakeholder group a number of weeks ago prior their meeting with CMS on how the manual medical review would be [...]
CMS Posts Slide Show on RACs and Therapy Manual Medical Review
RAC ‘n Rehab© Series -CMS has posted updates to their website on manual medical review of therapy over the $3700 thresholds. A short slide show, containing 8 slides provides little in the way of new information that what has already been communicated to the therapy community. The presentation is suitable for Recovery Auditor outreach education, and [...]
Connolly Region C RAC Posts OP Therapy Manual Medical Review – Four Issues Posted
RAC ‘n Rehab© Series – RACs and rehab have another new beginning as a result of the CMS decision to have the Recovery Auditors (RACs) take over manual medical review of outpatient therapy claims over the $3700 threshold. Connolly, the Region C RAC, is the first of the four regional RACs to post issues related [...]
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