Join me for a webinar on August 23rd on increased Medicare fraud & abuse initiatives targeting therapy providers. Lynn McGivern, Chief Compliance Officer at ATI Physical Therapy will join me as you hear about these new initiatives, why therapy providers are being targeting and how to mitigate the risk for your practice. The webinar is sponsored by Advance for Physical Therapy in Rehab Medicine and registration is complimentary.Medicare has stepped up reviews of physical therapists in private practice as part of the PPACA, which has placed physical therapists in private practice in a higher risk category requiring onsite reviews and verification as part of the application (or any change of information for that matter. CORFs have also been place in this moderate risk category. Previously considered a low risk with respect to the Medicare program, now physical therapists in private practice and CORFs have moved to a moderate risk category. Additionally private practice therapists who choose to become DME providers (for example hand therapists who fabricate and/or issue splints) will have their DME provider application default to the “high-risk” category with Medicare requiring additional application investigation including, but not limited to criminal background checks. This is coupled with the fact that increased fraud activity by various Medicare fraud contractors has escalated, and there are many examples that I have received of providers being placed under investigation, are not prepared.
In this webinar you will learn from actual case studies the differences between medical record requests and reviews by various CMS and OIG authorities including:
• The Recovery Audit Contractor (RAC) program
• The Comprehensive Error Rate Testing Program (CERT)
• The Zone Program Integrity Contractor and Program Safeguard Programs (ZPIC and PSC)
• The Medical Review program of CMS contractors, and the difference between provider specific probe reviews and widespread probe reviews
This webinar will also address the various fraud fighting agencies, what to expect from each if they knock on your door, and how to respond in a fashion that may protect the future of your business.
We look forward to “seeing” you at the webinar.