Nancy Beckley & Associates LLC is a rehab compliance consulting firm providing consulting and training services, as well outsourced compliance services to therapy clinics, home health agencies, DME suppliers, contract therapy companies, SNFs and other rehab professionals. The regulatory environment of Medicare, the ever-changing environment of managed care, and the constant need to develop and implement effective marketing strategies are challenges faced by most rehab providers and therapy clinics. We will assist you with these challenges and provide targeted consulting expertise to enable you to meet these challenges. Call us: 414-748-4376.
In addition to providing rehab risk assessments, compliance plan development, and chart audits the professionals at Nancy Beckley & Associates LLC provide compliance outsourcing services including monitoring and auditing activities and monthly “maintenance” support plans via email and phone and webinar conferencing techniques. If you are a small practice, we have an affordable solution to compliance plan development as well as audit & appeal support. Specific expertise is offered for rehab programs certified as Rehab Agencies (ORF) and Comprehensive Outpatient Rehabilitation Facilities (CORF). CORFs are considered at a higher level of risk for potentially fraudulent activities, particularly Florida-based CORFs where the Medicare Strike Force, the ZPIC and other enforcement agencies have identified fraudulent activities.
Medicare Reviews are Targeting Rehab Providers
Medicare contractors are increasing reviews on therapy providers and the results can be devastating if you are not prepared. Comprehensive Outpatient Rehabilitation Facilities (CORFs) have been under scrutiny for years, but now special investigations by the Florida ZPIC (Zone Program Integrity Contractor) are underway to determine compliance with Medicare coding, billing and documentation as well as compliance with the CORF Conditions of Participation. A CORF can be called an orphan program: information is hard to find, not all regulatory references on various State websites are up-to-date, and the State Operations Manual’s CORF Interpretive Guidelines have not been updated since 2006 (despite key changes in CORF regulations since that time.
Physical therapists in private practice as well as CORFs, effective march 25, 2011 are now considered to be a “moderate” risk to the Medicare program, and as such enhanced enrollment efforts are underway that at the minimum will require site visits to validate the person that is enrolling or changing location.
Elements of Compliance: An Audit and Monitoring Plan Based on Risk Assessment
The June (2011) issue of IMPACT the magazine of the Private Practice Section of the American Physical Therapy Association contained a feature article by Nancy Beckley: “Elements of Compliance: An Audit and Monitoring Plan Based on Risk Assessment.” The article is on page 18, and is timely in light of the requirments under the Patient Protection and Affordable Care Act that will phase that will phase in mandated compliance plans over the next 3 years.
When you select Nancy Beckley & Associates LLC for your rehab project, you are working with credentialed professionals with extensive experience in rehabilitation. We have provided a sampling of the various types of projects in which we are involved. Call (414) 748-4376 to discuss your potential project.