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OIG 2016 Work Plan and Physical Therapists in Private Practice

November 14, 2015 3 Comments
OIG 2016 Work Plan and Physical Therapists in Private Practice

The 2016 OIG Work Plan once again includes a review of physical therapists in private practice and is captioned as “Physical therapists—high use of outpatient physical therapy services”.  Per the OIG Work Plan and physical therapists in private practice: We will review outpatient physical therapy services provided by independent therapists to determine whether they were […]

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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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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 […]

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Top 3 Essential Compliance Components

July 31, 2014 3 Comments
Top 3 Essential Compliance Components

Do you have the top 3 essential compliance components in your therapy program or practice?   You may have a compliance plan that you wrote, or purchased a compliance program off the shelf, or maybe your compliance program consists of chart audits and quality reviews.  The Office of the Inspector General (OIG) has provided Compliance Guidances […]

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OIG Upcoming Changes

July 4, 2014 0 Comments
OIG Upcoming Changes

OIG Tips Series ~ OIG upcoming changes in CMP and Exclusions were highlighted by Inspector General Dan Levinson at HCCA’s Compliance Institute this past spring.  In continuing his use of colorful slides from the San Diego area the owl was used as a signal to compliance office to be on the outlook for upcoming changes.  Levinson pointed to three upcoming initiatives at […]

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Compliance Adaptability

July 2, 2014 0 Comments
Compliance Adaptability

OIG Tips Series ~ Compliance adaptability is one of the tips given by Inspector General Dan Levinson by Inspector General Dan Levinson at HCCA’s Compliance Institute this past spring.  In continuing his use of colorful slides from the San Diego area the urban crow was front and center.  According to Levinson: ….the urban crow is a great adaptive creature. It actually will figure […]

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OIG Compliance Tips

July 1, 2014 0 Comments
OIG Compliance Tips

OIG Tips Series ~ Do you have an off the shelf, or out of the box compliance plan?  OIG compliance tips given by Inspector General Dan Levinson at the annual HCCA Compliance Institute are always valued by the compliance officers and professionals in attendance at the keynote speech.  This spring at the Compliance Institute in San […]

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Importance of Checking Exclusions

March 16, 2014 2 Comments
Importance of Checking Exclusions

Checking exclusions is a key component of any viable compliance program.  The Office of the Inspector General (OIG) of the US Department of Health and Human Services maintains a list of excluded individuals and entities (LEIE).   Anyone who hires an individual or entity named on the LEIE may be subject to civil monetary penalties (CMP).  […]

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OIG 2014 Work Plan Includes Physical Therapy

January 31, 2014 2 Comments
OIG 2014 Work Plan Includes Physical Therapy

The Office of the Inspector General (OIG) published their 2014 Work Plan today.  The OIG 2014 Work Plan includes physical therapy.  Physical therapists in private practice have once again been identified as part of the work scope. This topic has been ongoing for the past several years so it comes as no surprise that physical therapy […]

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Compliance Education for Therapy Providers in Health Care Fraud

January 12, 2014 0 Comments
Compliance Education for Therapy Providers in Health Care Fraud

Rehab Compliance Education Series – Compliance education is one of the essential elements of an effective compliance program for providers. Providers under scrutiny by one of the CMS program integrity contractors with adverse findings often find themselves wishing their compliance education had been more robust.  The Office of the Inspector General of the Department of […]

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