by Gina Elkins | Wednesday, September 20, 2017 | Compliance
MUE What Does That Stand For? We live in a world full of acronyms. LOL, BRB, COT, MDS, ADL, PUF, PEPPER, and the list goes on! So, what does MUE stand for? Medically Unlikely Edits What does this mean? CMS developed MUEs to decrease the paid claims error rate...
by Gina Elkins | Friday, August 11, 2017 | Clinical, Compliance, Featured
Medicare Part B Therapy Caps I remember about ten years ago when my dad had his first hip replacement and was excited when he finally “graduated” from home health Physical Therapy (PT), which allowed him to go to Outpatient Physical Therapy. He was elated. He went to...
by Gina Elkins | Thursday, July 27, 2017 | Compliance
How many times have you heard someone say, “That’s Not My Job!”? Most likely you’ve heard this before — you may have even said it yourself! The thing is, though, when we think about compliance, it is everyone’s job to try to help ensure compliance with...
by Gina Elkins | Friday, June 9, 2017 | Compliance
Ransomware, Viruses, and Computer Crashes…Oh my! Joei Morton, Functional Pathways Director of IT and HIPAA Security Officer reports there are 3 steps we can take to protect our computers from ransomware, viruses, computer crashes etc. Check them out!...
by Gina Elkins | Tuesday, April 11, 2017 | Clinical, Compliance, Regulatory
Last month I blogged about therapy coding. This month, I want to talk how to ensure therapy medical and treatment diagnoses are accurate and applicable prior to submitting the claim to Medicare. This is accomplished through an effective and thorough facility Triple...