Nancy Beckley & Associates

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Hospital OP Therapy Referrals Must Come From Staff MD/NPP

In a recent update to the State Operations Manual CMS clarified that referrals for PT, OT, SLP and Aud at a hospital OP department require a referral from a Physician/NPP that is credentialed by the Medical Staff. Is your hospital outpatient therapy department compliant? Or do you accept referrals from "outside physicians". Have you done a risk assessment?

RACMonitor.com

Articles of Interest to Rehab Community

OIG Releases Report on IRF:  CMS Response Indicates Potential RAC Involvement

Postcards on the Edge

The Curious Case of the CORF

Waiting to Exhale

Automated Reviews:  Good Reason for Making A List

The RAC Not So Open Door Policy

The Real Miami Vice for Medicare Fraud & Abuse

Taking the RAC Not So Open Door Policy to Washington

Don’t Mess With Texas:  CMS & Connolly Post the Texas Rollout 

Likely Outpatient Rehab RAC Targets:  Hiding in Plain Sight

Catch Me If You Can: Staying Ahead of the RAC Reviews of Untimed Codes

The Geek Factor:  Do You Own Data Mining on the Medicare Contractor Web Sites

Local Coverage Determinations: Scrapbooking Your Way to Success in a RAC World

Trick or Treat:  Filling the Void Between Now and the Beginning

Florida Providers Report Receiving RAC Demand Letters

The RAC Race Has Begun – There is Still Time to Turkey Trot Your Way to Compliance Success

Region C RAC Posts 25 New Issues for DRG Validation

RAC Provider Outreach: The Not-So Open Door Policy

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