by Gina Elkins | Thursday, August 15, 2013 | Compliance
CMS is targeting outpatient therapy providers that stopped therapy services just under the therapy cap. More than 350 therapy providers will receive letters from CMS’ review contractor, Strategic Health Solutions to review claims from August 2012 through March...
by Gina Elkins | Friday, August 9, 2013 | Compliance
Are you sick and tired of me talking about changes that aren’t going to happen for a while? If you recall, I was blogging about G-Codes and Severity Modifiers seven months before it was even mandatory. But if you know me, you will know that I am a planner. ...
by Gina Elkins | Friday, July 26, 2013 | Compliance
What is the definition of progress? According to ‘The Free Dictionary by Farlex” online, the definition of the word ‘Progress’ as a noun is: Movement, as toward a goal; advance Development of growth Steady improvement A ceremonial journey made...
by Gina Elkins | Friday, July 12, 2013 | Compliance
There has been a lot of chatter in the industry about the Government Accountability Office’s (GAO) report regarding the quarter 4, 2012 manual medical review process. According to the GAO, CMS did not provide therapy contractors timely guidance which ultimately...
by Gina Elkins | Friday, June 28, 2013 | Compliance
Functional Limitation Reporting testing period ends June 30, 2013 (testing period: 1/1/13-6/30/13). All claims beginning July 1 must have the functional limitation reporting G- codes and severity modifiers or your claims will be rejected and returned. If for some...
