by Gina Elkins | Friday, June 28, 2013 | Compliance
Functional Limitation Reporting testing period ends June 30, 2013 (testing period: 1/1/13-6/30/13). All claims beginning July 1 must have the functional limitation reporting G- codes and severity modifiers or your claims will be rejected and returned. If for some...
by Gina Elkins | Thursday, June 13, 2013 | Compliance
LOL—Yes they are mints if you are looking to improve your breath but these days, we as an industry are just trying to catch our breath! A “CERT” stands for ‘Community Emergency Response Team’ if you are referring to first aid products or...
by Gina Elkins | Wednesday, June 5, 2013 | Compliance
We have been informed of RAC activity in Region A (Performant Recovery, Inc.) for the following states: Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont....
by Gina Elkins | Friday, May 31, 2013 | Compliance
We are well into 2013 and moving along with the manual medical review by the RACs for claims over the $3,700 threshold. Where do you stand? Have you received ADRs as a result of being over the $3,700 threshold? Did you know where to send in the documentation to? Do...
by Gina Elkins | Friday, May 17, 2013 | Compliance
I just spent eight hours traveling to beautiful Charlotte North Carolina to participate in Functional Pathways 360 CEU Symposium event! While driving, I spent a lot of time thinking of the conversations I have had this week with therapists and assistants, with...
by Gina Elkins | Thursday, May 2, 2013 | Compliance
Often we receive questions from the field regarding coding of therapy diagnoses and we wish we could just “add” any ICD-9 code to the computer system. However, we have to base the selection of the codes off of the Medicare Administrative...
