Threshold Pre-Approval Processes Posted!

MAC/FI Links Below for the Manual Medical Review process. Functional Pathways’ training will begin the week of September 10th. Palmetto: Palmetto Outpatient Therapy Caps and Threshold Process CGS: CGS Therapy Cap Exception Cahaba:   Cahaba GBA Manual Medical Review Process of

To Post or Not to Post—-Will They Post?

Well, if you are anything like me, you are anxiously awaiting the famous Medicare Manual Review of Therapy Services process from your MAC/FI.  When are they going to post on their website on how to request approval for therapy treatment days

MEDICAL REVIEW CLAIMS ABOVE $3700 THRESHOLD

Phase information is now available!! CMS has developed a tool which will allow providers to search by their NPI (National Provider Number) to determinae their phase. Providers can now identify which Phase they are in for rollout of the manual medical review

ALERT UPDATE: MEDICARE PART B

Latest news regarding Medicare Part B Outpatient Therapy Cap and Exceptions Process:  CMS held a conference on Tuesday August 7th to announce the “manual review process” for Part B therapy claims above the $3700 threshold.  The $3700 threshold for PT and

Who Is Looking Out for You

Have you asked this question?   Well, who is looking out for you?  As a national provider of therapy services in Skilled Nursing Facilities and in CCRCs, we know who is watching! CERTS, MACS, RACS, and ZPICS are penetrating more and