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
Author: Gina Tomcsik
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.
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
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?
We need your help to end the Therapy Cap!
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
Changing the “Not My Job” Mentality
How many times have you heard someone say, “That’s Not My Job!”? Most likely you’ve heard this before — you may have even said it yourself! The thing is, though, when we think about compliance, it is everyone’s job to
3 Ways to Protect Your Computer from Crashing
Ransomware, Viruses, and Computer Crashes…Oh my! Joei Morton, Functional Pathways Director of IT and HIPAA Security Officer reports there are 3 steps we can take to protect our computers from ransomware, viruses, computer crashes etc. Check them out!
How to Ensure Accurate Therapy Diagnoses and Treatment
Last month I blogged about therapy coding. This month, I want to talk how to ensure therapy medical and treatment diagnoses are accurate and applicable prior to submitting the claim to Medicare. This is accomplished through an effective and thorough
The Key Difference Between Medical Diagnosis and Treatment Diagnosis
What is the difference between a medical diagnosis and a treatment diagnosis? How do we select the correct medical diagnosis on therapy evaluations? These are questions that therapists ask all the time. Why do therapists struggle in this area? Because
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