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Tag: SLP in Private Practice

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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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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Therapy Documentation Top 5 Best Practices

January 3, 2014 0 Comments
Therapy Documentation Top 5 Best Practices

The new year is a great time to focus on improving outpatient therapy documentation.  Through a series of complimentary webinars with Clinicient on functional limitation reporting, manual medical review and all things Medicare we presented documentation best practices.  Therapy documentation top 5 best practices grew out of what we learned from the first wave of manual […]

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HIPAA Compliance Enforcement: Is Your Rehab Program Ready?

October 25, 2013 0 Comments
HIPAA Compliance Enforcement: Is Your Rehab Program Ready?

September 23, 2013 has come and gone, and you are wondering if the Office of Civil Rights (OCR) is going to “spot check” your facility for a HIPAA compliance assessment, right?  The HITECH Rule that was part of the American Reinvestment and Recovery Act (ARRA) presented a number of changes, in particular the requirement that Business […]

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Rehabilitation Therapy Information Fact Sheet Posted by CMS

May 4, 2010 0 Comments
Rehabilitation Therapy Information Fact Sheet Posted by CMS

CMS has updated the “Rehabilitation Therapy Information” Fact Sheet and it is now available for downloading at the CMS website.  The 4 page flyer inlcudes highlights over therapy changes over the past year including the therapy cap, DME Instructions, SLP in Private Practice, and Therapy Personnel Requirements.  There are also links to rehab related Medicare […]

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Therapy Cap for 2009 Announced Transmittal R1851 (CR6660)

November 20, 2009 0 Comments
Therapy Cap for 2009 Announced Transmittal R1851 (CR6660)

CMS has announced the therapy cap for 2010 is $1860, representing a $20 increase over the 2009 therapy cap.  Transmittal R1851 to the Medicare Claims Processing Manual, dated 11/13/2009 and the accompanying MLN Article MM6660 provide information on the implementation.  The Balanced Budget Act of 1997 (BBA) established a $1500 therapy cap for physical therapy (including speech-language […]

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Florida Rehab Providers Now Receiving RAC Demand Letters

November 10, 2009 1 Comment
Florida Rehab Providers Now Receiving RAC Demand Letters

Florida therapy providers are beginning to report the receipt of official “demand letters” from Connolly Healthcare, the Region C Recovery Audit Contractor.   A Florida therapy provider, who asked not to be identified, has reported receiving several demand letters related to the billing of speech therapy untimed codes in units greater than one.  This provider has multiple […]

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Connolly, RAC Region C, Untimed: Alabama & Georgia

September 9, 2009 0 Comments
Connolly, RAC Region C, Untimed: Alabama & Georgia

The Region C RAC (Connolly) has posted approved issues for two new states, including the addition of untimed codes for Alabama & Georgia.  Connolly originally posted the CMS approved issue of untimed codes for automated reviews for South Carolina, and shortly after added the issue for Florida.

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The RAC “Issue” of Untimed Codes

August 31, 2009 0 Comments
The RAC “Issue” of Untimed Codes

Now that we know that it is for real, there is no more speculating, it has been published.  How can rehab providers in Region C and Region D get themselves ahead of the RAC automated review process on untimed codes?  We first predicted that untimed codes would likely be one of the first rehab issues […]

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Region B RAC Reveals Website – Posts 3 CMS Issues

August 31, 2009 0 Comments
Region B RAC Reveals Website – Posts 3 CMS Issues

The Region B RAC Contractor revealed their website capabilities while posting 3 CMS approved issues for automated review in Region B states of Indiana, Michgan and Minnesota.  This time the previously CMS approved issue of “Untimed Code” for rehab is not among them.  Visit the site for CGI to see how it is formatted.  Notice that on […]

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