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 reason
Month: June 2013
AUSCULTATION OF THE LUNGS
Remember your last doctor’s visit when he came at you with a stethoscope and proceeded to put that cold device against your chest? And then said……”take a deep breath and hold it”? And you did, until you were about to
Dual Eligible Initiative- Are You Prepared
The government is initiating an effort to redesign the delivery system for the dual eligible. Do you know much about and are you prepared for it? I hope the answer to both of those questions is yes, but if it
CERTS—Are these breath mints??
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 ‘Computer
Payment Liability: Therapy Cap Denials
According to the May 23 edition of CMS eNews: “Section 603(c) of the American Taxpayer Relief Act of 2012 (ATRA) changed the payment liability for denials resulting from the outpatient therapy caps from beneficiaries to providers effective January 1, 2013.
RAC ACTIVITY- REGION A & B & C
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. RAC Issue in Region B (CGI)