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Archive for August, 2011

Webinar on Fraud & Abuse Initiative Targeting Therapy Provider is Now Archieved

August 31, 2011 0 Comments
Webinar on Fraud & Abuse Initiative Targeting Therapy Provider is Now Archieved

The webinar archive file in now available through Advance for Physical Therapy & Rehab Medicine.   After creating a login account via Advance, you will be able to download a copy of the handout for the presentation.  This webinar was a follow up to and earlier webinar in March: Risky Business:  Medicare Compliance for Outpatient Rehab […]

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Webinar: Medicare Fraud and Abuse Initiatives Targeting Therapy Providers

August 18, 2011 0 Comments
Webinar: Medicare Fraud and Abuse Initiatives Targeting Therapy Providers

Join me for a webinar on August 23rd on increased Medicare fraud & abuse initiatives targeting therapy providers.  Lynn McGivern, Chief Compliance Officer at ATI Physical Therapy will join me as you hear about these new initiatives, why therapy providers are being targeting and how to mitigate the risk for your practice.  The webinar is […]

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CERT Errors Continue to Highlight Physical Therapy

August 18, 2011 0 Comments
CERT Errors Continue to Highlight Physical Therapy

The Comprehensive Error Rate Testing (CERT) Program continues to highlight errors in physical therapy billing as evidenced by the 2nd Quarter Report posted by Wisconsin Physician Services (WPS), the Legacy Part B provider in MInnesota, Illinois, Wisconsin and Michigan.  The most recent reports continues to highlight the fact that therapy minutes (as documented in the […]

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CMS Requires PTs in Private Practice to Revalidate Enrollment..Be Prepared

August 12, 2011 0 Comments
CMS Requires PTs in Private Practice to Revalidate Enrollment..Be Prepared

CMS has issued an updated MLN Article SE1126 with information regarding mandatory enrollment revalidation based upon the previous MLN Article MM7350.  The ACA requires enhanced enrollment procedures effective March 25th of this year based upon identified categorical risk to the Medicare program.  Physical Therapists in Private Practice were elevated to the “moderate risk category” and […]

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CMS Releases 2nd Comparative Billing Report on Physical Therapy

August 9, 2011 0 Comments
CMS Releases 2nd Comparative Billing Report on Physical Therapy

CMS released a national provider Comparative Billing Report (CBR) regarding private practice physical therapists who practice in the outpatient setting and bill Medicare with modifier KX (for therapy beyond the cap). This CBR is similar to the original study distributed last summer except this current study focuses on 2010 billing data and is being sent to 5000 additional or different […]

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