by Gina Elkins | Thursday, December 13, 2012 | Compliance
As you may be aware, there will be new reporting requirements for outpatient therapy services beginning 1/1/13. The Middle Class Tax Relief and Jobs Creating Act of 2012 section 3005(g) amended section 1833(g) of the Social Security Act to require a claims-based data...
by Gina Elkins | Monday, December 10, 2012 | Compliance
Compliance is defined as the act of adhering to, and demonstrating adherence to, a standard or regulation. As you know, in the medical field, there are numerous regulations and they are constantly changing. Functional Pathways is passionate and committed to providing...
by Gina Elkins | Saturday, December 1, 2012 | Compliance
This week, we have been notified that phase 2 and phase 3 providers are receiving ADRs for October claims for resident’s who were at or over the $3,700 threshold. Phase 1 providers who have pre-approval are receiving ADRs as well. If you are a Functional Pathways...
by Gina Elkins | Thursday, November 15, 2012 | Compliance
So, we are approaching December 1st. Do you see light at the end of the tunnel for the Manual Medical Review? Well, if you were in phase 1, you have been working diligently to obtain pre-approval of therapy visits for almost two full months now. And if you were in...
by Gina Elkins | Monday, October 29, 2012 | Compliance
Phase 2 providers are approaching their debut for submitting their pre-approval requests for part B therapy residents who have met or will meet the $3700 threshold for OT and $3700 threshold for PT/ST. You may have already submitted your pre-approval requests in...
