Rehab Compliance Resources
Do you know what to do when an investigator or federal agent knocks on your door? Do your staff know what to do? Is this a routine visit from the Medicare Site Visit Validation Contractor, the FBI, OIG, or an investigator from the licensing board. Help is on the way! The Red Envelope Policy
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Medicare Administrative Contractors (MAC) have quietly been reviewing therapy providers under the Targeted Probe and Education (TPE) program. The results of the reviews are posted by contracts, and provide general insight into topics, findings and implications. Novitas has completed … Read More
Do you every have a therapy patient no show at your outpatient clinic? The patient that is schedule for an initial evaluation, or a follow up visit? For a new evaluation you have likely blocked off the time of a physical or occupational therapist on the schedule, and if the patient does not show up for the evaluation the time slot … Read More
Have you been “welcomed” by your Medicare Administrative Contractor (MAC) into the CMS Targeted Probe and Educate Program (TPE) ? CMS rolled out the TPE program October 1, 2018 in order help providers and suppliers reduce claims denials and appeals through one-on-one help. … Read More
CMS has proposed modifications to the Emergency Preparedness Condition of Participation designed to lessen the burdens, particularly for small providers in compliance with the detailed Interpretive Guidelines…. Read More
Updated for 2019. CMS has posted updated FAQ for Therapy ABNs, providing the keys to understanding when an ABN is needed in the post-therapy cap era. Providers have anticipated this since the therapy caps were permanently eliminated in the Bipartisan Budget Act of 2018, passed in February. … Read More
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