2018 Medicare Part B “Hard Cap”

2018 Medicare Part B “Hard Cap”

As you probably already know, there is a Medicare Part B “Hard Cap” that went into effect 1/1/18 because Congress didn’t act to extend the exceptions process nor did they repeal the therapy caps altogether.  As a result, residents receiving Part B therapy in 2018 will...

Implementing an Effective Compliance Program

Compliance — it is every provider and employee’s responsibility! So what exactly is a Compliance Program? A compliance program is a system of policies, procedures and processes developed by a provider to ensure observance with and conformity to all applicable...
Payment Use File Tips

Payment Use File Tips

What rhymes with “PUF”? Bluff, cuff, gruff, rough, stuff, snuff, tough to name a few. How does rhyming a word relate to therapy compliance? When you read the title, and read the word “PUF”, ‘puff’ is probably what came to mind. I didn’t’ spell it wrong. The word “PUF”...
Fostering Employee Engagement

Fostering Employee Engagement

Accountability is not only holding staff responsible for following the established policies and protocols in your organization, it can also stretch into responsibility to speak out when processes are no longer efficient. Successful organizations hold their employees...
Medically Unlikely Edits

Medically Unlikely Edits

MUE What Does That Stand For?   We live in a world full of acronyms. LOL, BRB, COT, MDS, ADL, PUF, PEPPER, and the list goes on! So, what does MUE stand for? Medically Unlikely Edits What does this mean? CMS developed MUEs to decrease the paid claims error rate...