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Archive for April, 2013

Functional Limitation Reporting – for Pelvic Therapy Specialists

April 24, 2013 5 Comments
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 […]

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CMS Posts FAQ on Manual Medical Review by Recovery Auditors (RACs)

April 18, 2013 2 Comments
CMS Posts FAQ on Manual Medical Review by Recovery Auditors (RACs)

RAC ‘n Rehab© Series 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 […]

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CMS Posts Slide Show on RACs and Therapy Manual Medical Review

April 16, 2013 0 Comments
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 […]

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Multiple Procedure Payment Reduction – Now at 50%

April 12, 2013 0 Comments
Multiple Procedure Payment Reduction – Now at 50%

Since 2011 outpatient therapy providers have been subject to the Multiple Procedure Payment Reduction Policy (MPPR).  At private practices and physician offices it has been at 20%, and for institutional providers it was set at 25%.  In keeping with the recommendation from the Medicare Payment Advisory Commissiont (MedPAC) the Congress moved to increase this amount […]

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2014 Federal Budget – Elimination of In-Office Ancillary Exception for PT (POPTS) in 2015

April 11, 2013 0 Comments
2014 Federal Budget – Elimination of In-Office Ancillary Exception for PT (POPTS) in 2015

The federal budget that was published this week calls for an elimination of the in-office ancillary exception for therapy services.  Over the years a consensus developed with respect to therapy services that this lead to overutilization, and was not in keeping with the intent of the in-office ancillary exception to STARK.  According to the rationle […]

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Connolly Region C RAC Posts OP Therapy Manual Medical Review – Four Issues Posted

April 10, 2013 1 Comment
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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Functional Limitation Reporting – SLP Functional Limitation Categories

April 7, 2013 0 Comments
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 […]

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Functional Limitation Reporting – PT/OT Functional Limitation Categories

April 7, 2013 1 Comment
Functional Limitation Reporting – PT/OT Functional Limitation Categories

There are  6 functional limitation reporting categories for physical and occupational therapy, and another 8 functional limitation reporting categories for speech language pathology.  The 6 PT/OT categories are designed to encompass the majority of functional limitations, as there is an additional category “PT/OT Other Primary Functional Limitation” that can be used in instances where one […]

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Therapy Functional Limitation Reporting

April 6, 2013 0 Comments
Therapy Functional Limitation Reporting

Functional Limitation Reporting is underway with a CMS “testing” phase in place right now.  The Middle Class Tax Relief and Job Creation Act (MCTRJCA) of 2012 set the stage, and the finals details about the program were reported in the 2012  Medicare Physician Fee Schedule Final Rule.  Transmittal updates to the Medicare Benefit Policy Manual and […]

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