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
Author: Gina Tomcsik
Working in Silos: The Three Lives of a Cancer Patient This is a story of an extremely active seventy-year-old man who was diagnosed with tonsil cancer that produced a tumor in his neck. This man volunteers 40 hours a week
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
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
Therapists will be seeing some changes in CPT codes. These changes are outlined below. ORTHOTICS AND PROSTHETICS: The CPT Editorial Panel revised the set of codes physical and occupational therapists use to report orthotic and prosthetic interventions by differentiating between
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
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.
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
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?
Medicare Part B Therapy Caps I remember about ten years ago when my dad had his first hip replacement and was excited when he finally “graduated” from home health Physical Therapy (PT), which allowed him to go to Outpatient Physical