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Tag: therapy documentation

Therapy Over the Cap

September 8, 2015 1 Comment
Therapy Over the Cap

It’s that time of the year when therapy providers are carefully reviewing the potential for therapy over the cap for each of their Medicare patients.  Beneficiaries may need to exceed the therapy cap for several reasons:  A single complicated episode of care. Multiple related episodes of care. Multiple unrelated episodes. Using both physical therapy and speech therapy in the […]

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Aquatic Therapy Compliance

September 1, 2015 2 Comments
Aquatic Therapy Compliance

Does your facility offer aquatic therapy?  If so do you have aquatic therapy compliance addressed to ensure compliance with Medicare requirements for your type of Medicare enrollment?  Aquatic therapy may be offered at your facility, next door at the health club or a community pool such as the local YMCA.  Look to your Medicare Administrative […]

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Three Tips When Converting to A Therapy EMR

July 22, 2014 0 Comments
Three Tips When Converting to A Therapy EMR

Are you in the process of converting to a therapy electronic medical record (EMR)?  Or perhaps you are still considering which EMR program you will select?  Regardless of where you are in the process, you will need these three tips when converting to a therapy EMR.  But first, before I share three tips when converting to […]

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Medicare Signature Requirements

July 12, 2014 7 Comments
Medicare Signature Requirements

When is a signature, not a signature?  Did you know that Medicare has signature requirements? Judging from the number of emails that I have received from the MACs over the past few weeks, it would appear that Medicare’s long standing signature requirement is not being observed.  A number of years ago, prompted in large part by […]

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Therapy Medicare Documentation Requirements

March 4, 2014 2 Comments
Therapy Medicare Documentation Requirements

Do you know therapy Medicare documentation requirements?  Take a minute before you answer.  While you are thinking about your answer, here are some more teasers: do you have a copy of your Medicare Administrative Contractor’s (MAC) local coverage determination, (LCD) and is it current?  Do you know the required and voluntary elements of the therapy […]

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Medicare Improvement Standard – Jimmo Settlement

January 9, 2014 1 Comment
Medicare Improvement Standard – Jimmo Settlement

Medicare Maintenance Series – Clarifications on what has been called the “Medicare Improvement Standard” have been disseminated by CMS over the past few weeks with an emphasis on the coverage for maintenance services does not turn on the “presence or absence of potential for improvement, but on the need for skilled care as well as […]

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Therapy Prepayment Review by RACs

January 7, 2014 0 Comments
Therapy Prepayment Review by RACs

Rac ‘n Rehab Series©  Therapy prepayment review by RACs takes place in the 11 states where the RAC prepayment review is in place, the RACs have 10 days from the receipt of your records to review the records and render an opinion.  If the review is not completed in the 10 day time frame, the claim must […]

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Submitting Therapy Documentation to RACs: 3 Things You Must Know

January 6, 2014 0 Comments
Submitting Therapy Documentation to RACs: 3 Things You Must Know

Rac ‘n Rehab Series©  In the last post we described manual medical review of outpatient therapy claims that exceed one of the $3700 thresholds.  It is likely that outpatient therapy providers will be submitting therapy documentation in support of December claims though out January, and perhaps into February, in response to therapy in December. When submitting requests […]

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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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Counting Outpatient Therapy Minutes – Medicare and More

August 12, 2013 3 Comments
Counting Outpatient Therapy Minutes – Medicare and More

Medicare constrains the number of units that can be billed in outpatient therapy based upon the number of minutes of therapy.  Based upon the time that is spent in providing therapy services that are performed in “timed” code treatment, the number of units that can be billed are defined in the Medicare 8 minute rule.  […]

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