by Gina Elkins | Monday, October 3, 2016 | Compliance
In February of 2016, CMS reported that Strategic Health Solutions will be the Supplemental Medical Review Contractor (or “SMRC”) performing post-payment Manual Medical review of all Medicare Part B claims that exceed the $3,700 threshold. This manual review is...
by Gina Elkins | Friday, September 9, 2016 | Compliance
CPT Codes Heaven-Bound? So long and farewell to PT and OT CPT codes 97001, 97002, 97003, and 97004! According to The Department of Health and Human Services’ proposed rule, Physical and Occupational Therapy Evaluation codes will be changing effective on or after...
by Gina Elkins | Monday, July 11, 2016 | Clinical, Compliance
On June 24, 2016, The Centers for Disease Control and Prevention (CDC) released 2017’s ICD-10-CM codes. These 2017 ICD-10-CM codes are to be used for patient encounters and for discharges occurring from October 1, 2016 through September 30, 2017. What the CDC...
by Gina Elkins | Thursday, June 9, 2016 | Featured, Uncategorized
Government audits are stressful, demanding, nerve-wracking, and becoming more of a focus for government agencies. As the government is buckling down more on the medical necessity of therapy services, providers need to do more. Not only do providers need to ensure the...
by Gina Elkins | Monday, March 28, 2016 | Compliance
Who doesn’t like a hug now and then? Giving and receiving a hug will decrease stress and show others that you care. But when you “hug a RUG”, that will have the opposite effect. You will increase stress and the auditors will show you they care! On March 9, 2016 CMS...
