Google+ Compliance 101 and Other Articles by Nancy Beckley : Nancy Beckley & Associates
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Reading Room – Articles by Nancy Beckley

In A Snap! Now You See It, Now You Don’t!

Once again in the digital era and Web 2.0, what’s old is new and what’s new is old.  Or at least the concept behind the Snapchat app seems to suggest it is. more~

Compliance 2.0

The compliance landscape for outpatient therapy looks remarkably different entering 2016 than it has for the past few years. For a lot of practices an “out of sight, out of mind” attitude has gravitated to an “I cannot sleep at night” feeling. So what has happened over the past year? What are steps a private practice should take to mitigate compliance risks?. more~

Up Periscope!

Remember the old submarine movies when there would be a command to “up scope” and the captain (for example, Clark Gable in Run Silent, Run Deep) would take a peek at the activities on the surface? The Periscope app, recently made part of the Twitter platform, allows app users to “up their Periscope” and give their followers a view of the live action. more~

Pocket,, and Juice: Creating Your Own Digital News Service

USA Today is often thought of as the first news “aggregator”. Reading the USA Today paper edition while traveling has always been a luxury. With a digital subscription on my tablet, reading the paper is a daily activity. Now users of social media can be their own aggregators of information, and share it with their networks. Pocket,, and Juice are my favorites to use. All serve a similar purpose of aggregating information, but in different and unique ways. more-

iTuning with Podcasts: Movin’ and Groovin’ to Compliance 

iTunes is not just for music. Remember the introduction of the portable pocket media player nearly 15 years ago? Now in addition to rocking while doing your morning workout, you can watch high-definition movies and listen to podcasts. In fact, you don’t have to be exercising to do so. Catch the latest by logging in to iTunes on your iPhone, iPad, MacBook, or PC. For those sporting the new Apple Watch, what could be easier than a flick of the wrist? more-

PQRS Opportunity: Last Chance to Stave off a Penalty Reduction in Reimbursement

This compliance topic is in response to requests by many private practice members to understand the Physician Quality Reporting System (PQRS) and to effectively report to stave off future payment reductions. The focus is on claims-based reporting. American Physical Therapy Association (APTA) members are encouraged to visit for a wealth of information about the PQRS program including reporting requirements. more-

In an Instant with Instagram

Remember your first camera? I had a Kodak Instamatic and thought I was in seventh heaven for capturing all the memories of my junior year aboard to Europe. Looking back, I’m not quite sure what was “instant” about the Instamatic. more-

The Centers for Medicare & Medicaid Services Recovery Audit Contractor Program

The Centers for Medicare & Medicaid Services (CMS) Recovery Audit program has been under way for more than 6 years. Following a demonstration program that ran from 2005 through 2008 in several states, the Recovery Audit Contractor (RAC) program was permanently implemented in the Tax Relief and Health more-

#HCCAci — It’s That Time Again, and Everyone Can Get Connected in the Tweet Fest!

We have all been waiting for this — a chance to meet and greet using social media at the 2015 Compliance Institute @Disney . The exciting part of social media is that everyone will be able to join in the excitement, even if you are not in attendance. The preferred social media platform at the CI is Twitter, because everyone can join in the communication stream live — you don’t have to be onsite!  more-

February, and Love is in the Air: Time for Pinning with Pinterest

Remember the musical Bye Bye Birdie? Can you resist humming along with the lyrics: What’s the story, morning glory? What’s the word, hummingbird? Have you heard about Hugo & Kim? Did they really get pinned? Did she kiss him and cry? Did he pin the pin on? Or was he too shy? more-

Outpatient Therapy Claims: Medical Review and Audits

It is no secret that Medicare review of therapy records and claims have increased this past year.  while largely due to the mandated manual medical review of therapy over the $3700 threshold by the Recovery Auditors, other initiative have resulting in therapy chart reviews.  The Office of Inspector General (OIG) continues with audits of private practice physical therapists more-

  Point, Click and Snap!

Ever wonder what those little pixelated square black and white codes are? Ever wonder why people take pictures of them? Smartphones and tablets (and even “phablets”) are getting bigger and better, smart watches have been added to the mix, and there is an endless possibility for not only healthcare use, but compliance focus. more-

YouTubing Your Way to Compliance Training

Do you ever need to get a quick training module out to physicians or staff? Is this the type of training or message that doesn’t need a formal sign-in sheet, the expense of a buffet lunch, the scoring of a quiz, or even the formality of a learning management system? The recipe is as easy as assembling content in PowerPoint or Keynote, recording it with an audio/visual screen capture program such as Camtasia, producing it in a video format, and then publishing it to your YouTube channel. more-

To Appeal or Not to Appeal

Over the past several years, the escalating number of Medicare denials has resulted in a record number of appeals making their way to the 3rd Level Administrative Law Judge (ALJ). Appeals have skyrocketed in large part due to denials in the recovery audit program (RAC) and the successful resolutions providers are receiving at the ALJ level. The escalating number of cases reaching the Office of Medicare Hearing and Appeals (OMHA) has prompted Chief Judge Nancy Griswold to declare a temporary halt to the assignment of new cases to the various ALJ regions.  more-

Jimmo v. Sebelius: The Myth of the Medicare Improvement Standard

The Settlement Agreement in the matter of Jimmo v. Sebelius was approved by the U.S. District Court for the District of Vermont. Beginning in December of 2013, CMS began a series of steps required under the settlement to inform and educate providers, suppliers, contractors, adjudicators, and beneficiaries regarding Medicare policy so that beneficiaries could receive the full coverage to which they are entitled. Of note to therapy providers are the revisions made to the Medicare Benefits Policy Manual (MBPM) for skilled nursing, home health, and outpatient therapy. More-

Data Never Sleeps

It seems like Twitter users never sleep. Are you tempted to take a peek at my Twitter feed in the middle of the night? It seems it’s during “off” times the most interesting tweets come through. Take Twitter user @Domotalk’s tweet: “Data Never Sleeps 2.0.”  The tweet links to an infographic showing the amount of data generated every minute. The infographic notes, “With each click and share, and like, the world’s data pool is expanding faster than we can comprehend.”   more

Benefit Design and Compliance 

Q:  What is an insurance plan benefit design and what does it mean for therapy providers?  A:  An insurance benefit design specifies services that are covered under the health insurance plan, whether government-funded, employer-funded, or a personal plan (available to individuals and families via insurance brokers). The benefit design includes deductibles, various co-payments for physician and emergency room visits and hospital stays (including inpatient rehab and skilled nursing) as well as prescription drugs, laboratory, radiology, and additional benefits such as physical therapy. more-

Tweet me up! Getting social at the Compliance Institute

The Twitter hashtag for the Health Care Compliance Association Compliance Institute (#HCCAci ) couldn’t have been more social. Tweeting (sending message of ≤140 characters on a smartphone or tablet) got started prior to everyone’s arrival in San Diego.  A new app (application for smartphones and tablets) was revealed: 1,380 downloads to iOS devices (829 on iPhone, 531 on iPad) and 246 to Android devices—learly compliance is Apple-oriented. (An apple a day keeps the OIG away?) more-

Rehab Risks in a RAC World

The world of outpatient therapy, including physical therapy, occupational therapy, and speech language pathology has seen risk grow exponentially over the past year, while at the same time suffering reimbursement hits from governmental programs, most notably Medicare, and commercial payers as well.  more-

Compliance 101: Physical therapy, the referring physician and Stark regulations

Do Physicians have long referred their patients for physical therapy services to community and hospital-based physical therapy and rehab departments. Many physician practices, particularly those that have the propensity to refer large volumes of patients for physical therapy in particular, have developed therapy services and clinics within their practice. Following the enactment of Stark I, many physician groups divested their therapy practices amid concerns of non-compliance with the self-referral law.
The landscape of physician-owned physical therapy practices (POPTS) has been repopulated over the past decade as physician groups have taken advantage of the in-office ancillary exception available under the Stark II regulations. more-

Therapy provided “incident to”:  Developing a framework for compliance by identifying risk

Do you provide physical or occupational therapy services incident to your practice? Are you considering adding these services? This article will provide your practice with a basic framework for understanding key elements of a voluntary compliance program with an emphasis on risk areas that have been identified by the OIG.  Background:  The Office of the Inspector General of the Department of Health & Human Services (OIG) issued the final version of its “Compliance Program for Individual and Small Group Practices” (Guidance) in October of 2000. The Guidance stressed the voluntary nature of a compliance program, but also highlighted the benefits that such a program can confer on physician practices, not only to do the right thing, but also to streamline business operations.  more-


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