by Gina Elkins | Friday, October 5, 2012 | Compliance
The manual medical review of therapy claims is well on its way for phase 1 providers. I am going to take a break from the Manual Medical Review this week and talk about our focus for the fourth quarter—coding and diagnosis selection. Therapy coverage...
by Gina Elkins | Friday, September 21, 2012 | Compliance
Are you surviving the manual medical review process? Are you preparing for your phase-in date by working on the process in your facility? I just had a challenging last two weeks rolling out trainings company-wide discussing all of the MAC/FI processes. I survived...
by Gina Elkins | Sunday, September 9, 2012 | Compliance
MAC/FI Links Below for the Manual Medical Review process. Functional Pathways’ training will begin the week of September 10th. Palmetto: Palmetto Outpatient Therapy Caps and Threshold Process CGS: CGS Therapy Cap Exception Cahaba: Cahaba GBA Manual Medical...
by Gina Elkins | Friday, September 7, 2012 | Compliance
Well, if you are anything like me, you are anxiously awaiting the famous Medicare Manual Review of Therapy Services process from your MAC/FI. When are they going to post on their website on how to request approval for therapy treatment days once a threshold of $3700...
by Gina Elkins | Wednesday, August 22, 2012 | Compliance
Phase information is now available!! CMS has developed a tool which will allow providers to search by their NPI (National Provider Number) to determinae their phase. Providers can now identify which Phase they are in for rollout of the manual medical review...
