by Gina Elkins | Monday, March 10, 2014 | Compliance
CMS is in the procurement process for the next round of Recovery Audit (RA) Program contractors and as a result, announced on February 18, 2014, that it will “pause” RA activities. This will allow the RAs time to wind down and complete unfinished projects by the time...
by Gina Elkins | Tuesday, February 11, 2014 | Compliance
In the January 2014 publication of McKnight’s, NASL’s, Cynthia Morton reports that a recent survey was conducted regarding claims under manual medical review for those beneficiaries who exceeded the Medicare Part B cap thresholds. This survey revealed a huge amount of...
by Gina Elkins | Thursday, January 2, 2014 | Compliance
As this year comes to an end, some may wonder where the year has gone!? But others may think back through the year and look at all that was accomplished. We have lived our values, made it through yet more changes to report on the MDS, tackled reporting of the...
by Gina Elkins | Tuesday, December 10, 2013 | Compliance
The Affordable Care Act (ACA) requires new standards, operating rules, and identifiers in the upcoming years. ACA also requires health plans to certify compliance with standards and operating rules and that they have completed end-to-end testing. Since all services...
by Gina Elkins | Friday, December 6, 2013 | Compliance
Effective January 1, 2014 CPT code 92506 will be replaced by four new CPT codes related to evaluation of speech sound production, language, fluency, and voice and resonance disorders. The American Medical Association’s Relative Value Update Committee (RUC) requested...
by Gina Elkins | Monday, December 2, 2013 | Compliance
We are fortunate enough to be a member of an outstanding organization for advocacy in the long term care setting. Last week, I had the honor of meeting with members of Congress to discuss the therapy Part B cap exceptions process for 2014, standardization and...
