by Gina Elkins | Tuesday, April 11, 2017 | Clinical, Compliance, Regulatory
Last month I blogged about therapy coding. This month, I want to talk how to ensure therapy medical and treatment diagnoses are accurate and applicable prior to submitting the claim to Medicare. This is accomplished through an effective and thorough facility Triple...
by Gina Elkins | Friday, March 31, 2017 | Compliance
What is the difference between a medical diagnosis and a treatment diagnosis? How do we select the correct medical diagnosis on therapy evaluations? These are questions that therapists ask all the time. Why do therapists struggle in this area? Because therapists are...
by Gina Elkins | Monday, February 20, 2017 | Compliance
States have rules for driving a car, catching a fish, and hunting wild game. At the same time, we also have Rules and Regulations in each state for Occupational Therapists, Occupational Therapy Assistants, Physical Therapists, Physical Therapist Assistants, Speech...
by Gina Elkins | Friday, January 6, 2017 | Clinical, Compliance
Effective January 1, 2017 Physical and Occupational Therapists will be using new complexity-based evaluation codes and a new re-evaluation code for each discipline. This policy change was discussed in the CY 2017 Medicare Physician Fee Schedule rulemaking. The goal is...
by Gina Elkins | Wednesday, November 2, 2016 | Compliance
On October 31, 2016, The Centers for Medicare & Medicaid Services (CMS) reported on their RAC Website that they have awarded new round of contracts for the Medicare Fee-for-Service Recovery Audit Contractors (RACs). The mission of the RAC program is to identify...
by Gina Elkins | Wednesday, October 12, 2016 | Compliance
Leaders and staff from the National Association for the Support of Long Term Care (NASL) have been working with APTA, AOTA, and ASHA to develop resource materials for therapists regarding accurate information about Medicare billing and best practices in the long term...
