25th Apr

5 Tips for Preventing a HIPAA Breach

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) went into law and its purpose states, “to improve the efficiency and effectiveness of the health care system. This included administrative provisions that required Health and Human Services (HHS) to

13th Feb

Medicare Part B Therapy Caps Repealed!

February 9, 2018 was a historical day: for over twenty years, providers have been advocating for Medicare Part B beneficiaries to receive medically necessary therapy services that exceed a capped amount! Our voices were heard, and the President signed the

3rd Jan

2018 Medicare Part B “Hard Cap”

As you probably already know, there is a Medicare Part B “Hard Cap” that went into effect 1/1/18 because Congress didn’t act to extend the exceptions process nor did they repeal the therapy caps altogether.  As a result, residents receiving

8th Nov

Implementing an Effective Compliance Program

Compliance — it is every provider and employee’s responsibility! So what exactly is a Compliance Program? A compliance program is a system of policies, procedures and processes developed by a provider to ensure observance with and conformity to all applicable

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11th Oct

Payment Use File Tips

What rhymes with “PUF”? Bluff, cuff, gruff, rough, stuff, snuff, tough to name a few. How does rhyming a word relate to therapy compliance? When you read the title, and read the word “PUF”, ‘puff’ is probably what came to mind.

22nd Sep

Fostering Employee Engagement

Accountability is not only holding staff responsible for following the established policies and protocols in your organization, it can also stretch into responsibility to speak out when processes are no longer efficient. Successful organizations hold their employees accountable for established

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20th Sep

Medically Unlikely Edits

MUE What Does That Stand For?   We live in a world full of acronyms. LOL, BRB, COT, MDS, ADL, PUF, PEPPER, and the list goes on! So, what does MUE stand for? Medically Unlikely Edits What does this mean?