Compliance Rules Regulations Policies Codes Concept
20th Feb

Therapy State Practice Acts

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 Language

Compliance
6th Jan

Changes to PT and OT Evaluation Codes

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

compliance
2nd Nov

CMS Awards Recovery Audit Contractors

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

12th Oct

Long Term Care Associations Work to Strengthen 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

3rd Oct

Are you over the $3,700 Thresholds?

In February of 2016, CMS reported that Strategic Health Solutions will be the Supplemental Medical Review Contractor (or “SMRC”) performing post-payment Manual Medical review of all Medicare Part B claims that exceed the $3,700 threshold. This manual review is required as

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9th Sep

Saying Farewell to Select CPT Codes

CPT Codes Heaven-Bound? So long and farewell to PT and OT CPT codes 97001, 97002, 97003, and 97004! According to The Department of Health and Human Services’ proposed rule, Physical and Occupational Therapy Evaluation codes will be changing effective on

Medical files
11th Jul

What the 2017 CDC Codes Mean for Therapy

On June 24, 2016, The Centers for Disease Control and Prevention (CDC) released 2017’s ICD-10-CM codes. These 2017 ICD-10-CM codes are to be used for patient encounters and for discharges occurring from October 1, 2016 through September 30, 2017. What

Government Audit
9th Jun

How to Reduce the Stress of a Government Audit

Government audits are stressful, demanding, nerve-wracking, and becoming more of a focus for government agencies. As the government is buckling down more on the medical necessity of therapy services, providers need to do more. Not only do providers need to ensure