by Gina Elkins | Monday, September 8, 2014 | Compliance
MAC, RAC, MIC, CERT, ZPIC——–They ARE watching you! Just because the RACs are on a “pause” doesn’t mean that you will be left alone. On the contrary, there are other entities watching you and they may not be looking at only therapy. Most recently,...
by Gina Elkins | Friday, August 1, 2014 | Compliance
The Medicare Program Integrity Manual, Pub 100-08 Transmittal 527 reflects a change request due to providers requesting to know what areas CMS contractors are currently reviewing. Medicare Administrative Contractors (MACs) and supplemental Medical Review Contractors...
by Gina Elkins | Monday, July 7, 2014 | Compliance
PEPPER stands for Program for Evaluating Payment Patterns Electronic Report and provides an educational tool which helps providers identify Medicare services at risk for improper payments by providing a summary of provider-specific data information. Sharing your...
by Gina Elkins | Monday, June 9, 2014 | Compliance
What is one of the top reasons for therapy claim denials? Poor documentation? Incomplete documentation? Missing documentation? Believe it or not, incomplete submission of necessary documentation when submitting an ADR (Additional Development Request) packet is one of...
by Gina Elkins | Friday, May 16, 2014 | Compliance
Did you know that every 13 seconds a home intrusion is committed? Did you know that 2,500+ cars are stolen per day? That’s almost 2 cars a minute! The next time you leave your car in a parking lot at the store, would you be comfortable not locking your car doors? Or...
