CERTS—Are these breath mints??

LOL—Yes they are mints if you are looking to improve your breath but these days, we as an industry are just trying to catch our breath! A “CERT” stands for ‘Community Emergency Response Team’ if you are referring to first aid products or...

RAC ACTIVITY- REGION A & B & C

We have been informed of RAC activity in Region A (Performant Recovery, Inc.) for the following states:  Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont....

RAC Manual Medical Review

We are well into 2013 and moving along with the manual medical review by the RACs for claims over the $3,700 threshold.  Where do you stand?  Have you received ADRs as a result of being over the $3,700 threshold?  Did you know where to send in the documentation to? Do...

Documentation–Roadmap?

I just spent eight hours traveling to beautiful Charlotte North Carolina to participate in Functional Pathways 360 CEU Symposium event!  While driving, I spent a lot of time thinking of the conversations I have had this week with therapists and assistants, with...

What are LCDs??

Often we receive questions from the field regarding coding of therapy diagnoses and we wish we could just “add” any ICD-9 code to the computer system.  However, we have to base the selection of the codes off of the Medicare Administrative...