News: CMS responds regarding MMR & Therapy

CMS posted updated information about the agency’s Manual Medical Review process. The annual Medicare Part B therapy benefit for each Medicare beneficiary is $1,900 for Occupational Therapy and $1,900 for Physical Therapy/Speech Therapy combined.  There are...

FUNCTIONAL LIMITATION REPORTING WEBINARS

Functional Pathways will be hosting Functional Limitation Reporting Webinars for all of our partners beginning this week.  The invitations have been sent out to all Administrators for all nine currently scheduled webinars.  Administrators can foward the invitation to...

“Triple Check? Why? We Don’t Get Denials!”

Functional Pathways is committed to ensuring that the therapy treatment we provide is skilled in nature as well as reasonable and necessary.  We strongly recommend and encourage our partners to include us in their triple check process.  Why?  Because we value our...

MEDICARE PART B THERAPY

Life is about change, right?  Well we certainly have been seeing change again with part B therapy. Therapy Cap and Manual Medical Review:  The exceptions process was extended through December 31st of this year which also extends the manual medical review process....

Functional Reporting and Manual Medical Review

I hope you have a wonderful holiday season! It’s a new year and Medicare Part B therapy changes continue.  As you are aware, Functional Reporting went into effect January 1, 2013 with a testing period through June 30th.  Claims submitted July 1st and after will...