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Tag: Home Health

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 […]

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Outpatient Therapy While Beneficiary is Under Home Health Plan of Care

September 20, 2013 25 Comments
Outpatient Therapy While Beneficiary is Under Home Health Plan of Care

RAC ‘n Rehab© Series Does this sound familiar?  A patient comes into your outpatient therapy clinic and states they are not receiving any home health.  You are checking because you know if that the patient is receiving home health therapy, that they can’t also receive outpatient therapy, right?  STOP right there.  Even if a patient has […]

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Senate Finance Report: Gaming of Medicare by For-Profit Home Health Companies

October 3, 2011 0 Comments
Senate Finance Report:  Gaming of Medicare by For-Profit Home Health Companies

The Senate Committe on Finance release a report today showing that home health companies intentionally increased frequency of home health therapy visits to manipulate Medicare reimbursement rates.  Senate Finance Committee Chairman Max Baucus (D-Mont.) and senior Finance Committee Member Chuck Grassley (R-Iowa) released this report showing tactics used by major for-profit home health companies to game […]

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