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Author Archive: Nancy Beckley

Nancy J. Beckley MS, MBA, CHC: President-Nancy Beckley & Associates LLC. Compliance outsourcing, risk assessment, compliance plans, compliance training, auditing, due diligence, investigation support for therapy providers.

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Physical Therapy Locum Tenens

September 4, 2015 0 Comments
Physical Therapy Locum Tenens

Physical therapy locum tenens is once again on the on the legislative “must do” list in 2015.  First, you may be wondering what does physical therapy locum tenens mean?  In short, if you are a physical (or occupational, or speech) therapist in a small private practice and you or one of your staff members takes […]

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Becoming A Therapy Compliance Officer

September 2, 2015 2 Comments
Becoming A Therapy Compliance Officer

Are you thinking of becoming a therapy compliance officer?  I often get inquiries by phone, through this website and via email from clinicians asking about becoming a compliance officer.  Some inquiries are from clinicians that are excited about compliance, some are from clinicians that are burned out and looking for a new career opportunity, others […]

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Aquatic Therapy Compliance

September 1, 2015 2 Comments
Aquatic Therapy Compliance

Does your facility offer aquatic therapy?  If so do you have aquatic therapy compliance addressed to ensure compliance with Medicare requirements for your type of Medicare enrollment?  Aquatic therapy may be offered at your facility, next door at the health club or a community pool such as the local YMCA.  Look to your Medicare Administrative […]

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Wheelchair Assessment

August 31, 2015 1 Comment
Wheelchair Assessment

Are you being asked to provide a wheelchair assessment?  Physicians referring a patient for a wheelchair are required by Medicare, Medicaid other payers to follow guidelines for submitting a prescription and letter of medical necessity. Physicians seek the expertise of physical and occupational therapists in completing the necessary paperwork they must submit in support of the wheelchair request. Therapy […]

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Compliance Plan Seven Elements

August 30, 2015 1 Comment
Compliance Plan Seven Elements

 A compliance plan should address seven elements that are based upon the Federal Sentencing Guidelines.  TheOffice of Inspector General has developed numerous compliance guidances over the past 17 years.  For outpatient therapy practices the OIG’s Compliance Program Guidance for Individual and Small Group Physician Practices (published in the Federal Register: Vol. 65, No. 194 / Thursday, […]

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New Rules for Therapy Appeals

August 29, 2015 1 Comment
New Rules for Therapy Appeals

CMS has issued guidance for reviews at the redetermination and reconsideration levels resulting in new rules applicable for therapy appeals.  Given that providers are now receiving the results of manual medical review of therapy over the $3700 threshold therapy providers have an interest in appealing unfavorable decisions, particularly for institutional providers billing on the UB04 claim […]

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Therapy Direct Access and Medicare

August 27, 2015 1 Comment
Therapy Direct Access and Medicare

How does  therapy direct access and Medicare get along?  Therapists with direct access are often discouraged to learn that the freedom to practice without physician referral may come at a cost of insurance reimbursement, including Medicare.  Does a Medicare beneficiary need a physician referral for physical or occupational therapy?  Well it depends on if the […]

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Medicare Signature Requirements – Update

August 26, 2015 1 Comment
Medicare Signature Requirements – Update

Medicare recently updated signature requirements in Transmittal 604 to the Medicare Program Integrity Manual.    The updates include the inclusion of the Supplemental Medical Review Contractor (SMRC) to the list of contractors (MACs, ZPICs, CERT) bound by the policy that we reviewed in a previous post. Many providers may remember that the current SMRC is Strategic […]

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Complimentary Compliance Course: Medicare 8 Minute Rule

March 22, 2015 3 Comments
Complimentary Compliance Course: Medicare 8 Minute Rule

Try it for free: Purchase this course for $0.00, yes it’s absolutely free! I am finishing up 2015 courses for Annual Compliance Training to be posted to my LMS, as well as to PhysicalTherapist.com. I’d love your feedback! Follow the link to Medicare 8 Minute Rule.  

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2015 PQRS Physical Therapy Measures

February 27, 2015 10 Comments
2015 PQRS Physical Therapy Measures

Are you ready for the 2015 PQRS Physical Therapy Measures?  CMS is now requiring reporting on 9 measures across 3 quality domains including 1 cross-cutting measure. Perhaps you received a letter from CMS late last year indicating that your 2015 reimbursement in your private practice would be reduced by 1.2% because you did not participate […]

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