Google+ CORF Archives - Nancy Beckley & Associates : Nancy Beckley & Associates
Subscribe via RSS Feed Connect on Google Plus Connect on LinkedIn

Tag: CORF

New Physical Therapy Codes for 2017

July 8, 2016 8 Comments
New Physical Therapy Codes for 2017

New physical therapy codes for 2017 were released yesterday by CMS as part of the Medicare Physician Fee Schedule Proposed Rule for 2017 (CMS-1654-P).  The therapy community has long awaiting the anticipated changes to the current CPT coding structure.  The proposed rule provides information on the new physical therapy and occupational therapy evaluation codes (we […]

Continue Reading »

Therapy Supervision

September 6, 2015 4 Comments
Therapy Supervision

Therapy supervision rules differ by venue in terms of Medicare, and may differ by state jurisdiction for Medicaid. Tricare does not have therapist supervision rules for private practice, as therapy assistants are not allowed by Tricare Military policy.  Medicare, Medicaid and Tricare supervision rules are payor rules.  There are also practice rules for supervision noted in your physical […]

Continue Reading »

Physical Therapy in OIG 2015 Work Plan

November 30, 2014 1 Comment
Physical Therapy in OIG 2015 Work Plan

Physical therapy in the Office of Inspector General (OIG) 2015 Work Plan should be no surprise.  Physical therapists in private practice have been in the cross hairs in the OIG’s annual Work Plan for the past four years.  The OIG has issued several reports under Office of Audit Services #W-00-11-33220 including Spectrum Rehabilitation, LLC, Claimed Unallowable Medicare […]

Continue Reading »

Rehabilitative Therapy v. Maintenance Therapy

January 22, 2014 0 Comments
Rehabilitative Therapy v. Maintenance Therapy

Medicare has debunked the myth of the “improvement standard and Jimmo v. Sebelius Settlement Agreement has guided CMS in policy updates to the home health, skilled nursing and outpatient therapy sections of the Medicare Benefits Policy Manual.  Providers working in home health, skilled facilities and outpatient venues will now have to differentiate rehabilitative therapy v. maintenance […]

Continue Reading »

Expedited Review When Therapy Services are Discontinued

July 5, 2013 1 Comment
Expedited Review When Therapy Services are Discontinued

Faced with $1900 therapy caps, and $3700 manual medical review by Recovery Auditors (RACs) therapy providers are cautious about providing therapy services that may not be deemed medically necessary by Medicare contractors.  In light of the change in liability for therapy over the $1900 cap in 2013, therapy providers have a choice of obtaining a […]

Continue Reading »

NGS Announces Physical Therapy Edits on Frequency and Duration

September 16, 2011 0 Comments
NGS Announces Physical Therapy Edits on Frequency and Duration

NGS, one of the largest CMS Medicare Administrative Contractors, has announced that it will implement new edits for physical therapy services billed on the CMS 1500 (of the electronic equivalent).  The new edits are effective September 20, 2011 and will screen for frequency and duration of therapy services not consistent with medical necessity.  Per the […]

Continue Reading »

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 […]

Continue Reading »

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 […]

Continue Reading »

OIG Testimony Before the House Sub-Committees on Health & Oversight

June 15, 2010 0 Comments
OIG Testimony Before the House Sub-Committees on Health & Oversight

Lewis Morris, the Chief Counsel to the Office of the Inspector General (OIG) of HHS provided testimony this morning before the subcommittes on Health & Oversight of the U.S. House Ways and Means Committee.  The text of Mr. Morris’s message provides insight into successful fraud and abuse intitatives by the OIG as well as the success […]

Continue Reading »

Comprehensive Outpatient Rehabilitation Facilities (CORFs)

May 20, 2010 2 Comments
Comprehensive Outpatient Rehabilitation Facilities (CORFs)

In a recent RACMonitor.com article on The Curious Case of the CORF   the CORF was described as an “orphan” program that had conflicting regulatory advice for providers in recent years.  The Conditions of Participation, the State Operations Manual Interpretive Guidelines, and various instructions from the Medicare Contractors (fiscal intermediaries and MACs) put the provider at […]

Continue Reading »