Rehabilitation Regulatory Compliance Risks
|
|
- Garry Stone
- 8 years ago
- Views:
Transcription
1 Rehabilitation Regulatory Compliance Risks Christine Bachrach Vice President & Chief Compliance Officer University of Maryland Medical System 2011 AHIA Annual Conference
2 Agenda - Rehabilitation Compliance Risks Understand the basic requirements for Inpatient Rehabilitation Facilities (IRFs) and Outpatient Rehabilitation Facilities (ORFs) Conditions of participation, i payment system IRF Conditions of coverage Basics of payments system IRF CMGs Outpatient Therapy Fee Schedule and payment limitations Understand the risks for outpatient therapy, both in the hospital and ORF settings, including rounding, medical necessity Understand the risks for IRFs, including intensity of service, comorbidities Auditing and Monitoring rehabilitation risks for IRFs and ORFs 2
3 IRF Conditions of Participation IRFs must meet general hospital requirements and then additional requirements to be exempted from the regular acute care Inpatient Prospective Payment System (IPPS) See 42CFR Provider agreement to participate as a hospital PLUS: Free-standing facility or distinct unit of hospital Beds cannot be co-mingled with acute care patients Serve an inpatient population with 60% requiring intensive rehabilitation services for treatment of at least one of 13 specified conditions (60% Rule) Medical Director who Provides services to the hospital and its patients on a full-time basis (20 hours if unit) Medical Doctor (MD) or Doctor of Osteopathy (DO) minimum two years training in rehabilitation services 3
4 IRF Conditions of Participation (cont.) Develop a Plan of Care that is reviewed by a multidisciplinary team at least every two weeks to assess progress and further need for services Failure to meet any of the Conditions of Exclusion will result in loss of IPPS exempt status, and reimbursement will default to Diagnostic Related Groups (DRGs) Significant financial impact as average length of stay for IRFs is 16 days; for general inpatient it is 6 days (~ 60% reduction in reimbursement) 4
5 Changes to Medicare Benefit Policy Manual IRF care is reasonable and necessary if patient meets all requirements of revised 110 Preadmission Screening Required, Licensed clinician Post-Admission Physician Evaluation within 24 hours if not appropriately discharged within 3 days Medical Necessity Criteria met at time of admission Require intensive rehabilitation 3 hours per day, 5 days per week starting within 36 hours of admission Require an intensive and interdisciplinary approach Expectation of measurable improvement of a practical value 5
6 FY 2010 IRF PPS Final Rule Changes to Coverage Criteria i Fed Reg 8/7/09 Components Pre-Admission Screening New Coverage Requirements The Rehab Physician must document reasoning behind the decision to admit to an IRF IRF Services must be ordered by Rehabilitation Physician Screening must be done by competent staff that are trained and qualified to assess the patient s medical and functional status, assess the risk for clinical and rehab complications and assess other aspects of the patient s condition. These clinical staff must be designated by the Rehab Physician. Screening must be completed within 48 hours before admission to the IRF (note: CMS will allow the screening to be completed more than 48 hours of admission as long as it is updated within the 48 hours prior to admission. This update can be done by a face-to-face encounter or phone call and the Rehab Physician must be aware of this update prior to the admission). Pre-Admission Screening should address: 1) Patient appropriate therapy needs for placement in IRF; 2) 3 hours of therapy, 5 days a week; 3) Patient's condition is sufficiently stable; and 4) measurable improvement. All documentation must be maintained in the patient s medical record. Eliminated the 3-day to 10-day assessment period for trial admissions. 6
7 FY 2010 IRF PPS Final Rule Changes to Coverage Criteria i (Cont) Components Post-Admission i New Coverage Requirements Within 24 hours of admission the Rehab Physician must verify the information obtained in the pre-admission screening is accurate, identify any relevant changes since the pre-admission screening, and begin development of an overall plan of care designed to meet the individual patient s needs. All documentation must be included in the patient's medical record. Post-admission physician evaluation to (1) describe the clinical rehabilitation complications for which the patient is at risk, and the specific plan to avoid them, (2) describe the adverse medical conditions that might be created due to the patient s comorbidities and the rigors of the intensive rehabilitation program, and the methods that might be used to avoid them, and (3) predict the functional goals to be achieved within the medical limitations of the patient. Use of the physician s history/physical yp y to satisfy this requirement may not be adequate. The interdisciplinary team does not need to be consulted but their input should be considered if available. 7
8 FY 2010 IRF PPS Final Rule Changes to Coverage Criteria i (Cont) Components New Coverage Requirements Individualized Overall Plan of Care Timeframe for finalizing the Plan of Care (POC) is same as that of the IRF-PAI (by the end of the 4th day following the patient s admission) The POC requires input from the Interdisciplinary Team 8
9 FY 2010 IRF PPS Final Rule Changes to Coverage Criteria i (Cont) Components Requirements for Evaluating Appropriateness of the IRF Admission New Coverage Requirements Patient s condition is sufficiently stable to allow the patient to actively participate in an intensive rehabilitation program. At the time of admission, there must be a reasonable expectation ti that t the patient t is able to tolerate t and benefit from intensive i rehabilitation ti services. Patient has the appropriate therapy needs for placement in an IRF, meaning that the patient requires the active and ongoing therapeutic intervention of at least two therapy disciplines (physical therapy, occupational therapy, speech-language pathology, or prosthetics/orthotics therapy), one of which must be physical or occupational therapy. Patient requires the intensive services of an inpatient rehabilitation setting, which is typically measured by whether the patient generally requires and can reasonably be expected to actively participate in at least 3 hours of therapy per day at least 5 days per week The Patient can reasonably be expected to make measurable improvement that will be of practical value to the patient s functional capacity or adaptation to impairments. 9
10 FY 2010 IRF PPS Final Rule Changes to Coverage Criteria i (Cont) Components Requirements for Interdisciplinary Team Meetings New Coverage Requirements Team must consist of professionals from the following disciplines (each of whom must have current knowledge of the beneficiary as documented in the medical record): (A) Rehabilitation physician with specialized training and experience in rehabilitation services; (B) Registered nurse with specialized training or experience in rehabilitation; (C) Social worker or a case manager (or both); and (D) Licensed or certified therapist from each therapy discipline involved in treating the patient. Meeting must occur at least once per week throughout the IRF stay The Rehab Physician must document concurrence with all decision made by the interdisciplinary team. 10
11 FY 2010 IRF PPS Final Rule Changes to Coverage Criteria i (Cont) Components Requirements for Physician Supervision Requirement regarding the Initiation of Therapy Services Provisions of Group Therapy New Coverage Requirements Face-to-face patient encounters no less than 3 times per week during the course of the patient s stay. Treatment must begin within 36 hours of midnight on the day of admission Group Therapy in an IRF should be adjunct to one-on-one therapy. Documentation must be kept in the patient s medical record 11
12 FY 2010 IRF PPS Final Rule Changes to Coverage Criteria i (Cont) Components New Coverage Requirements If the Post Admission Assessment does not support IRF need IRFs may bill for up to 3 days of care when the preadmission screening supports the IRF admission but subsequently during the post-admission assessment does not support treatment in an IRF. The IRF must take steps to immediately begin discharge planning and the situation must be well documented in the patient s medical record. MC Advantage/60 Percent Rule The final rule allows IRFs to use Medicare Managed Care patients to be used to determine compliance under the 60 percent rule. An IRF-PAI is required to be submitted for all Medicare Managed Care patients. Record Retention for IRF-PAIs on Medicare MA patients must be retained in the medical records or in electronic form for up to 10 years. 12
13 The IRF Prospective Payment System (IRF-PPS) Implemented October 2001 Effective first cost reporting period on or after that date For new units, first cost reporting period after full year as distinct unit Applies to Medicare Part A patients only Single payment for entire admission 13
14 The IRF Prospective Payment System (cont.) Requires completion of the Patient Assessment Instrument (PAI) Assignment to a case mix group (CMG) based on: Etiologic diagnosis Motor score and in some cases Cognitive score from PAI Comorbidities Age (in some cases) Certain comorbidities may increase reimbursement 14
15 The Patient Assessment Instrument (PAI) Multi page form Demographic information Function Modifiers Functional Independence Measure (FIM) Instrument Initial assessment completed by day 4 of admission Covers first 3 days of admission (except bowel/bladder accidentsgo back 7 days) Discharge assessment required within 5 days of discharge No penalty for late assessment; 25% penalty for late submission 15
16 The Patient Assessment Instrument (PAI) (cont.) Measures patient s ability at admission and discharge in specific areas, divided into Motor and Cognitive functions on FIM FIM items are weighted Each area of assessment is assigned a score of 1 to 7 (1= most dependent, 7 = most independent ) ADD MORE INFO Total score for motor and for cognition affects the Case Mix Group p( (CMG) ADD MORE INFO 16
17 Outpatient Therapy Payment System Same payments across settings hospital outpatient, private practice, physician office, nursing home, outpatient rehabilitation facility Fees established in the physician fee schedule Reported using Current Procedural Terminology (CPT) codes Performed by licensed personnel Physical Therapist (PT), Occupational Therapist (OT), Speech Language Pathologist (SLP) Also physicians, Nurse Practitioner (NP), Physician Assistant (PA), Clinical Nurse Specialist (CNS) if allowed by state PT and OT Assistants if supervised Therapy caps of $1,870 for 2011 (for PT/SLP and separately for OT) applicable in all settings except hospital outpatient Exemption from therapy caps if medically necessary Automatic process for patients with qualifying conditions use of KX modifier to indicate exemption 17
18 Inpatient Rehabilitation Risks Category Sub-Category Sub-sub Category Risk Hospital Medical Medicare Failure to perform and document all requirements Billing Integrity Necessity Coverage Criteria (see earlier slides) Failure to document need for 24 hour/day nursing care Therapy Services Failure to furnish skilled therapy services Services Licensed Unlicensed personnel (e.g. Rehab Techs) furnishes Performed within Scope of Practice Personnel treatment not permitted by state rules Licensed personnel (e.g. Physical Therapy Assistant (PTA) /Athletic Trainer Certified (ATC)) furnishes treatment not permitted by state scope of practice rules Unlicensed Personnel PTA/ATC (licensed personnel) treats patient when payor does not allow treatment 18
19 Inpatient Rehabilitation Risks Category Sub-Category Sub-sub Category Hospital Case-Level Early Transfers Delaying discharge dates in order to avoid early Billing Payment transfer payments for Medicare patients Integrity Adjustments Coding Interrupted Stays Short Stays IRF - CMGs, FIM, PAI, Risk Improperly billing for two separate and distinct stays when a Medicare patient is discharged and re- admitted within 3 days Delaying discharge dates in order to avoid short stay payments for Medicare patients Late submission/filing of PAI Inaccurate diagnosis codes placed on PAI leading to incorrect comorbidity tier Inaccurate FIM score placed on PAI IRF- Discharge Disposition Integration of codes into Case Mix Group is inaccurate Incorrect assignment of discharge disposition 19
20 Inpatient Rehabilitation Risks Category Sub-Category Risk Conditions of Classification of IRF Facility does not meet required threshold for CMS-13 qualifying Participation - 60% Rule diagnosis as a percentage of all discharges Inaccurate assignment of impairment or qualifying diagnosis code Vendor Orthotics and Substantial price concessions offered by a vendor for PPS- Relationships Prosthetics (O&P) covered O&P items in exchange for referrals of items that a vendor may bill directly to Medicare Ambulance/ Transportation Failing to pay an outside vendor for an O&P item that is necessary during the inpatient stay for which hospital is responsible Failing to pay an outside vendor for transportation tat o that is necessary during the inpatient stay for which hospital is responsible 20
21 Outpatient Therapy Risks Category Sub-Category Risk Billing Services Unlicensed personnel (e.g. Rehab Techs) furnishes treatment not Integrity Performed within Proper Scope permitted by state rules Licensed personnel (PTA/ATC) furnishes treatment not permitted by state scope of practice rules PTA/ATC (licensed personnel) treats patient when payor does not allow treatment Coding - CPT Incorrect rounding of minutes for therapy units Incorrect modifier usage (Specifically the review of the use of the KX modifier) 21
22 Outpatient Therapy Risks Category Sub-Category Risk Billing Individual vs. Billing Medicare for individual therapy when group therapy was Integrity Group Therapy performed Medical Necessity Plan of Care (POC) Treatment cannot be medically supported Services performed fail to conform to POC Physician signature not received timely on initial POC POC does not meet technical standards for payment (e.g. goals, frequency, etc.) Re-evaluation evaluation billed without appropriate documentation regarding medical necessity POC extension not developed and signed by physician in a timely manner 22
23 Types of Controls Preventive Education / Training Example All administrators and sales personnel complete sales & marketing training annually Approvals Contracts Example Legal does not draft / approve any contracts with referral sources unless appropriate Compliance approvals are present Chargemaster Example Information Services does not make requested change without VP Business Operations approval Pre-Billing Edits Example All therapy claims that do not meet Coverage Determinations (Local or National) are suspended and must be manually reviewed before billing 23
24 Types of Controls Detective Audits Outpatient Example 100% automated review of coded versus billed CPTs Outpatient Example Random sample of Medicare Plans of Care reviewed each quarter Outlier Analysis IRF Comorbidity Code Usage Hospital usage compared to benchmarks (similar to PEPPER reports of complex v. simple DRG usage in acute care) 24
25 Control Questions For All Control Types: What is the control action? Who is involved? How is the action carried out? Where is the action carried out (i.e. facility, division, corporate)? How often is the action carried out? For Detective Controls (other than outliers) also add these: What is the audit or monitoring activity? How many files, claims, etc. reviewed? Are there error/compliance thresholds associated with the audit/review? When are corrective action plans (CAPs) initiated? Who follows-up on the action plans? Where is the CAP remediation information reported once completed? For Outlier Controls add these: What is being measured? How often should it be measured? Are there error/compliance thresholds associated with the analysis? When are corrective action plans (CAPs) initiated? Who follows-up on the action plans? Where is the CAP remediation information reported once completed? 25
26 Monitoring Compliance with the 60% rule Presumptive e Actual Self-audits Coding accuracy Therapy hours 26
27 Monitoring Questions What risk areas are monitored? How often is the monitoring? i What changes have been made if any issues have been identified? Are all parties involved in the self-audits- nursing, therapy, physician, coding and billing? 27
28 Rehabilitation Risks Potential Audits Services Performed within Proper Scope Licensing Preventive Control: Each new licensed employee has primary source verification of active license in good standing verified before first day of employment. Preventive Control: Each new non-licensed employee (i.e. aides, rehab techs, exercise physiologists, i athletic ti trainers, massage therapists) is required to sign a copy of their job description within the first 3 days of employment, which includes information from the state practice act regarding scope of practice, to be kept in their personnel file. Audit: Review of personnel files to determine if Licensed - dates of licensure verification before first day of employment Non-licensed personnel file contains signed copy of job description dated within first 3 days of employment 28
29 Rehabilitation Risks Potential Audits Inpatient Coding Potential Surveillance Audit: ICD-9-CM and CMG Coding. Random sample of at least 30 Medicare claims is selected from the universe of all IRF Medicare discharges during the period for review. Medical records are reviewed to determine Accuracy of the Impairment Group Codes Accuracy of case-mix group (CMG) Accuracy of the tier billed based on the ICD-9-CM Correct Functional Impairment Measure (FIM) scores contained in the medical record (i.e., the FIM score in the medical record was transcribed correctly) 29
30 Rehabilitation Risks Potential Audits Inpatient Coding Potential surveillance audit: Timely submission of PAIs to CMS. For each claim selected for surveillance review, the reviewer also verifies that the Patient Assessment Instrument (PAI) was submitted to the CMS national database in a timely manner. 30
31 Rehabilitation Risks Potential Audits Inpatient Coding - Outlier Potential data analysis: Information from IRF PAI repository vendor is used to benchmark utilization of ICD-9-CM comorbid codes (excluding primary etiological codes) that effect Medicare tier assignments. Hospitals with utilization for any of the selected codes during the review period above a designated threshold level are designated as outliers and subject to further review. Potential Audit: For each comorbid code that is determined to be an outlier, a file is obtained of Medicare discharges during the review period for that code (i.e., the universe). From each of the universes, a random sample is selected for review. These records are reviewed to determine whether the comorbid condition is supported in the record. 31
32 Rehabilitation Risks Potential Audits Inpatient Coding Preventive Control: Each new coder receives training. All coding reviewed 100% until training is completed. Audit: Review of personnel files / training records to determine if / when coder received training Review of documentation of 100% review by another coder until date of training 32
33 Rehabilitation Risks Potential Audits Medicare Coverage Criteria Preventive Control: Training Detective Control/Monitoring: Self-monitoring of completion of all elements of Medicare Coverage Criteria Pre-Admission Screening Licensed / certified clinicians designated by the Rehab Physician Screening completed / updated within 48 hours before admission Physician i concurrence with pre-admission i screening prior to admission i Post-Admission Physician evaluation completion with 24 hours Plan of Care Signed by the Rehab Physician within 4 days of admission Interdisciplinary Team meetings Includes Rehab Physician, RN, Social worker/case manager, each therapy discipline Meets a minimum of once per week Physician must document concurrence with decisions Therapy Begins with 36 hours of midnight of the day of admission Audit: Review of monitoring results to determine if Accuracy of review independent review comes to same conclusion as to coverage criteria elements met Accuracy of following process random selection, etc. 33
34 Rehabilitation Risks Potential Audits Functional Independence Measure (FIM) Scoring Preventive Control: Bi-annually, at least 80% of licensed clinicians is re-certified in FIM scoring Detective Control/Monitoring: Percentage of usage of Case Mix Groups (CMGs) in certain Rehabilitation Impairment Categories (RICs) Review of FIM scores for the more subjectively scored FIM items Audit: Review of FIM scoring Requirement for concurrent because of nature of observation versus documentation based scoring. Must also be done by competent independent FIM scorers. Intra-operator consistency could be tested with some type of video scenarios 34
35 Rehabilitation Risks Potential Monitoring Inpatient Interrupted Stays Analysis of the claims data semiannually, using the previous 6 months data to identify claims with potential errors (i.e., two admission dates within 3 days for same patient or an actual interrupted stay code is used) for an interrupted stay. Follow-up is performed for each potential error. 35
36 Rehabilitation Risks Potential Audits Outpatient Therapy Coding Potential Surveillance Claims Audit - random sample of at least 30 Medicare claims is selected from the universe of all outpatient Medicare therapy claims for services provided during the review period. Reviewer uses a template(s) to review the medical and billing records for each claim to verify that Medicare billing and coding requirements are met, including Outpatient Plan of Care (i.e., timely physician signatures, completion of required elements, and timely physician signatures on re- certifications); Licensed staff provided all services rendered; and the services that were billed are adequately supported in the medical records the applicable CPT codes and units were billed correctly (e.g., the correct CPT codes were billed, the minutes of service were rounded correctly into billable units). 36
37 Rehabilitation Risks Potential Audits Outpatient Therapy Coding Group Therapy. A sub-sample of claims is selected to assess the accuracy of group versus individual therapy billing. All Medicare services furnished by the therapist for the date of the claim are reviewed for compliance with Medicare group therapy rules in accordance with a template. 37
38 Rehabilitation Risks Potential Audits Outside Services All outside service agreements with suppliers include an attachment which includes the guidelines that all invoices/bills for Medicare inpatients must be submitted to hospital and not to third party payors. Potential Audit review of any outside services provided to patients. Review of documentation to determine: Contract in place for services Invoice received by hospital Invoice/bill charges match contract terms Invoice paid by hospital 38
39 Contact Information Christine Bachrach Vice President & Chief Compliance Officer University of Maryland Medical System
40 Save the Date: August 26-29, st Annual Conference in Philadelphia Pennsylvania 40
Rehabilitation Compliance Risks. Agenda - Rehabilitation Compliance Risks
Rehabilitation Compliance Risks Christine Bachrach, Chief Compliance Officer, HealthSouth Catherine Niland, Organizational Integrity Manager, Trinity Health www.hcca-info.org 888-580-8373 Agenda - Rehabilitation
More informationJane Snecinski Post Acute Advisors, LLC P.O. Box 12078 Atlanta, GA 30355 www.postacuteadvisors.com. RAC National Summit
Jane Snecinski P.O. Box 12078 Atlanta, GA 30355 www.postacuteadvisors.com RAC National Summit Inpatient Rehab Patients Not Meeting Medical Necessity Criteria Late Submissions of PAI Outpatient Therapy
More informationOVERVIEW This policy is to document the criteria for coverage of services at the acute inpatient rehabilitation level of care.
Medical Coverage Policy Acute Inpatient Rehabilitation Level of Care EFFECTIVE DATE: 07 06 2010 POLICY LAST UPDATED: 06 04 2013 sad OVERVIEW This policy is to document the criteria for coverage of services
More informationFollow-up information from the November 12 provider training call
Follow-up information from the November 12 provider training call Criteria I. Multiple Therapy Disciplines 1. Clarification regarding the use of group therapies in IRFs. Answer: CMS has not yet established
More informationAcute Inpatient Rehabilitation Level of Care
Printer-Friendly Page Acute Inpatient Rehabilitation Level of Care EFFECTIVE DATE 07/06/2010 LAST UPDATED 07/06/2010 Prospective review is recommended/required. Please check the member agreement for preauthorization
More information1. Clarification regarding whether an admission order must be completed before any therapy evaluations are initiated.
Follow-up information from the November 12 provider training call I. Admission Orders 1. Clarification regarding whether an admission order must be completed before any therapy evaluations are initiated.
More informationMedicare Outpatient Therapy Billing
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services R Medicare Outpatient Therapy Billing August 2010 / ICN: 903663 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare
More informationWest Penn Allegheny Health System
West Penn Allegheny Health System System Compliance Department Medical Necessity and Billing for Inpatient Rehabilitation Lessons Learned from an Inpatient Rehab Unit Billing Audit 2006 HCCA Compliance
More informationNew Outpatient Therapy Evaluation and Intervention E&I Codes. An introduction to the new policy and new claims coding requirements
New Outpatient Therapy Evaluation and Intervention E&I Codes An introduction to the new policy and new claims coding requirements Disclaimer Contents of this presentation are for educational purposes only.
More informationFunctional Reporting: PT, OT, and SLP Services Frequently Asked Questions (FAQs)
Functional Reporting: PT, OT, and SLP Services Frequently Asked Questions (FAQs) Table of Contents FAQs on Providers, Plans, and Payers Subject to Functional Reporting 1 FAQs on How to Report Functional
More informationRegulatory Compliance Policy No. COMP-RCC 4.20 Title:
I. SCOPE: Regulatory Compliance Policy No. COMP-RCC 4.20 Page: 1 of 11 This policy applies to (1) Tenet Healthcare Corporation and its wholly-owned subsidiaries and affiliates (each, an Affiliate ); (2)
More informationBy: R.L. Ramsdell, Ph.D., FACFEI, DABFE, CFC, LFMAAMA
By: R.L. Ramsdell, Ph.D., FACFEI, DABFE, CFC, LFMAAMA WHO CAN PROVIDE THERAPY FOR MY MEDICARE PATIENT? This is probably one of our most frequent inquiries from non-client practices and one of the most
More informationRehabilitation Reimbursement Update By: Cherilyn G. Murer, JD, CRA
Rehabilitation Reimbursement Update By: Cherilyn G. Murer, JD, CRA Introduction The Centers for Medicare & Medicaid Services (CMS) and legislators in this country remain dedicated to ensuring that beneficiaries
More informationREHABILITATION UNIT CRITERIA WORK SHEET
DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES FORM APPROVED OMB NO. 0938-0986 REHABILITATION UNIT CRITERIA WORK SHEET RELATED MEDICARE PROVIDER NUMBER ROOM NUMBERS IN
More informationChapter 17. Medicaid Provider Manual
Chapter 17 Medicaid Provider Manual February 2011 TABLE OF CONTENTS 17.1 Occupational Therapy... 1 17.1.1 Description... 1 17.1.2 Amount, Duration and Scope... 1 17.1.3 Exclusions... 1 17.1.4 Limitations...
More informationTable of Contents. Respiratory, Developmental,
Provider Handbook Rehab and Restorative Services Table of Contents 1. Section Modifications... 1 2. Rehab, and Restorative Services... 2 2.1. General Policy... 2 2.2. Independent Occupational Therapists
More informationOutpatient Therapy Services
Outpatient Therapy Services Presented by WPS Medicare Provider Outreach and Education Updated March 2014 http://www.wpsmedicare.com/ Module 1 General Guidelines Acronyms OT Occupational Therapy PT Physical
More informationNEW YORK STATE MEDICAID PROGRAM REHABILITATION SERVICES POLICY GUIDELINES
NEW YORK STATE MEDICAID PROGRAM REHABILITATION SERVICES POLICY GUIDELINES Version 2015-1 Page 1 of 11 Table of Contents SECTION I REQUIREMENTS FOR PARTICIPATION IN MEDICAID 3 QUALIFIED PRACTITIONERS. 3
More informationMediServe. More than 25 Years Serving the Rehab and Respiratory Communities
MediServe More than 25 Years Serving the Rehab and Respiratory Communities Who We Are Rehabilitation Inpatient Outpatient Acute Care Private Practice Respiratory CORE Focus (Compliance, Outcomes, Revenue,
More informationREHABILITATION HOSPITAL CRITERIA WORK SHEET
DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES FORM APPROVED OMB NO. 0938-0986 REHABILITATION HOSPITAL CRITERIA WORK SHEET RELATED MEDICARE PROVIDER NUMBER ROOM NUMBERS
More informationCarol Novak, RN, CHC Martin Yuson, DPT, JD. Tips for Effective Auditing/Monitoring of Medicare Documentation for OT, PT and Speech 4/24/2013
Carol Novak, RN, CHC Martin Yuson, DPT, JD Tips for Effective Auditing/Monitoring of Medicare Documentation for OT, PT and Speech 4/24/2013 The wonderful thing about standards is that there are so many
More informationRegulatory Compliance Policy No. COMP-RCC 4.07 Title:
I. SCOPE: Regulatory Compliance Policy No. COMP-RCC 4.07 Page: 1 of 7 This policy applies to (1) any Hospital in which Tenet Healthcare Corporation or an affiliate owns a direct or indirect equity interest
More informationMedicare Inpatient Rehabilitation Facility Prospective Payment System
Medicare Inpatient Rehabilitation Facility Prospective Payment System Payment Rule Brief FINAL RULE Program Year: FFY 2015 Overview and Resources On August 6, 2014, the Centers for Medicare and Medicaid
More informationInpatient rehabilitation facility services
Inpatient rehabilitation facility services C H A P T E R9 R E C O M M E N D A T I O N 9 The Congress should eliminate the update to the Medicare payment rates for inpatient rehabilitation facilities in
More informationInpatient Rehabilitation Facilities (IRFs) [Preauthorization Required]
Inpatient Rehabilitation Facilities (IRFs) [Preauthorization Required] Medical Policy: MP-ME-05-09 Original Effective Date: February 18, 2009 Reviewed: April 22, 2011 Revised: This policy applies to products
More informationReviewing Hospital Claims for Patient Status: Admissions On or After October 1, 2013 (Last Updated: 11/27/13)
Reviewing Hospital Claims for Patient Status: Admissions On or After October 1, 2013 (Last Updated: 11/27/13) Medical Review of Inpatient Hospital Claims CMS plans to issue guidance to Medicare Administrative
More information10-144 Chapter 101 MAINECARE BENEFITS MANUAL CHAPTER II SECTION 68 OCCUPATIONAL THERAPY SERVICES ESTABLISHED 9/1/87 LAST UPDATED 1/1/14
MAINECARE BENEFITS MANUAL TABLE OF CONTENTS 68.01 PURPOSE... 1 PAGE 68.02 DEFINITIONS... 1 68.02-1 Functionally Significant Improvement... 1 68.02-2 Long-Term Chronic Pain... 1 68.02-3 Maintenance Care...
More informationNORWALK HOSPITAL DID NOT COMPLY WITH MEDICARE INPATIENT REHABILITATION FACILITY DOCUMENTATION REQUIREMENTS
Department of Health and Human Services OFFICE OF INSPECTOR GENERAL NORWALK HOSPITAL DID NOT COMPLY WITH MEDICARE INPATIENT REHABILITATION FACILITY DOCUMENTATION REQUIREMENTS Inquiries about this report
More informationComparison of the Prospective Payment System Methodologies Currently Utilized in the United States
Comparison of the Prospective Payment System Methodologies Currently Utilized in the United States 1 Can you speak the jargon of Prospective Payment Systems? MS- DRGs APCs IPF-PPS RBRVS HHRGs RUGs MS-LTC
More informationRehabilitation Nursing Criteria for Determination and Documentation of Medical Necessity in an Inpatient Rehabilitation Facility
Rehabilitation Nursing Criteria for Determination and Documentation of Medical Necessity in an Inpatient Rehabilitation Facility An ARN Position Statement The objective of this Position Statement is to
More informationStaffing Rehab Nursing Appropriately Using Patient Daily Acuity
Staffing Rehab Nursing Appropriately Using Patient Daily Acuity May 16, 2012 FIM and UDSMR are trademarks of Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc.
More informationBilling App Update: Version 2.012
Billing App Update: Presented by M. Aaron Little, CPA BKD, LLP Springfield, MO mlittle@bkd.com Today s Agenda 2012 prospective payment system (PPS) rates Timely filing Healthcare Common Procedure Coding
More informationOVERVIEW OF LONG TERM CARE HOSPITALS AND INPATIENT REHABILITATION FACILITIES AND THEIR ROLE IN THE POST ACUTE CARE CONTINUUM
OVERVIEW OF LONG TERM CARE HOSPITALS AND INPATIENT REHABILITATION FACILITIES AND THEIR ROLE IN THE POST ACUTE CARE CONTINUUM I. INTRODUCTION Government regulation of Medicare providers continues as a means
More informationReviewing Hospital Claims for Inpatient Status: The 2-Midnight Benchmark
Reviewing Hospital Claims for Patient Status: Admissions On or After October 1, 2013 (Last Updated: 03/12/14) Medical Review of Inpatient Hospital Claims CMS plans to issue guidance to Medicare Administrative
More informationFiguring Out the Codes: Inpatient Rehabilitation Facilities and the Transfer Policy
Figuring Out the Codes: Inpatient Rehabilitation Facilities and the Transfer Policy Inpatient rehabilitation facilities (IRFs) are hospitals (or subunits of a hospital) that offer intensive rehabilitation
More informationMedicare Inpatient Rehabilitation Facility Prospective Payment System
Medicare Inpatient Rehabilitation Facility Prospective Payment System Payment Rule Brief PROPOSED RULE Program Year: FFY 2015 Overview, Resources, and Comment Submission On May 7, 2014, the Centers for
More informationInpatient or Outpatient Only: Why Observation Has Lost Its Status
Inpatient or Outpatient Only: Why Observation Has Lost Its Status W h i t e p a p e r Proper patient status classification affects the clinical and financial success of hospitals. Unfortunately, assigning
More informationOverview of the Florida Medicaid Therapy Services Coverage and Limitations Handbook
Overview of the Florida Medicaid Therapy Services Coverage and Limitations Handbook 2 Introduction Medicaid reimburses for physical therapy (PT), occupational therapy (OT), respiratory therapy (RT), and
More informationAdvanced Therapy Management
Risk Advanced Therapy Management The larger the risk the more incentive to actively change behavior to control costs and provide only those services that are medically necessary 3 Thoughts About Risk Medicare
More informationInpatient Rehabilitation Facility (IRF) Services. Part A Provider Outreach and Education September 2015
Inpatient Rehabilitation Facility (IRF) Services Part A Provider Outreach and Education September 2015 DISCLAIMER This information release is the property of Noridian Healthcare Solutions, LLC. It may
More informationFact Sheet #1 Inpatient Rehabilitation Facility Classification Requirements
Fact Sheet #1 Inpatient Rehabilitation Facility Classification Requirements Provider Types Affected All hospitals or units of a hospital that are classified under subpart B of part 412 of the Medicare
More informationAcute Medical Rehabilitation Surviving Health Care Reform
Acute Medical Rehabilitation Surviving Health Care Reform Kathleen C. Yosko, RN, MS, MBA President & CEO Marianjoy Rehabilitation & Clinics Wheaton, Illinois Marianjoy Rehabilitation and Clinics 2 1 Acute
More informationT- 09 Up Up and Away with Mediocre Therapy Documentation
T- 09 Up Up and Away with Mediocre Therapy Documentation Carol Ashdown M. A. CCC-SLP RAC-CT CHC Carol Ashdown is a Regional Vice President of Consulting for Exponential Consulting Services specializing
More informationThe following references are used throughout the billing scenarios that follow:
11 Part B Billing Scenarios for PTs and OTs The following billing scenarios formerly appeared on the Frequently Asked Questions (FAQ) website and on the Therapy Medlearn website as "11 FAQs" - posted 9/13/02
More informationPreparing for Therapy Required Functional Reporting Implementation in CY 2013
Preparing for Therapy Required Functional Reporting National Provider Call December 12, 2012 1:30-3pm ET Presented by: Pamela R. West, DPT, MPH Centers for Medicare & Medicaid Services, Center for Medicare
More informationInpatient rehabilitation facility services
C h a p t e r10 Inpatient rehabilitation facility services R E C O M M E N D A T I O N 10 The Congress should eliminate the update to the Medicare payment rates for inpatient rehabilitation facilities
More informationRecovery Auditors and Fee-for-Service Medicare DIVISION OF RECOVERY AUDIT OPERATIONS CENTERS FOR MEDICARE & MEDICAID SERVICES
Recovery Auditors and Fee-for-Service Medicare 1 DIVISION OF RECOVERY AUDIT OPERATIONS CENTERS FOR MEDICARE & MEDICAID SERVICES What is a Recovery Auditor? The Recovery Auditors are CMS contractors who
More informationStatement of Purpose for the Strategic Plan
Contributors: Elena Espirtu, OTR/L Mary Gollinger, MS, CRRN, RN Renu Mahajan, MD Sriramjini Muthukrishnan, MD Keir Ringquist, PT, GCS David Miller Mamie Kutame, MSW William Kettlewell, RN Kimberly Zimmerman,
More informationPhysical, Occupational, and Speech Therapy Services. September 5, 2012
Physical, Occupational, and Speech Therapy Services September 5, 2012 CMS Therapy Cap Team Members Daniel Schwartz Deputy Director, DMRE Division of Medical Review and Education Latesha Walker Division
More informationInpatient rehabilitation facility services
C h a p t e r10 Inpatient rehabilitation facility services R E C O M M E N D A T I O N 10 The Congress should eliminate the update to the Medicare payment rates for inpatient rehabilitation facilities
More informationUsing the Inpatient Rehabilitation Facility (IRF) PEPPER to Support Auditing and Monitoring Efforts: Session 1
Using the Inpatient Rehabilitation Facility (IRF) PEPPER to Support Auditing and Monitoring Efforts: Session 1 March, 2015 Kimberly Hrehor Agenda Session 1: History and basics of PEPPER IRF PEPPER target
More informationRegulatory Compliance Policy No. COMP-RCC 4.32 Title:
I. SCOPE: Regulatory Compliance Policy No. COMP-RCC 4.32 Page: 1 of 4 This policy applies to (1) Tenet Healthcare Corporation and its wholly-owned subsidiaries and affiliates (each, an Affiliate ); (2)
More informationTreatment Facilities Amended Date: October 1, 2015. Table of Contents
Table of Contents 1.0 Description of the Procedure, Product, or Service... 1 1.1 Definitions... 1 2.0 Eligibility Requirements... 1 2.1 Provisions... 1 2.1.1 General... 1 2.1.2 Specific... 1 2.2 Special
More informationMaking Medicare Work for Physical, Occupational and Speech Therapists Workshop Q&As
Making Medicare Work for Physical, Occupational and Speech Therapists Workshop Q&As This Question and Answer (Q&A) series was developed from the Making Medicare Work for Physical, Occupational and Speech
More informationTherapist in Private Practice or Group Practice
Therapist in Private Practice or Group Practice Occupational Therapist, Physical Therapist, and Speech-Language Pathologist in private practice include therapists who are practicing therapy as employees
More informationGuide to EHR s Concurrent Commercial. Frequently Asked Questions: 2014 CMS IPPS FINAL RULE
Guide to EHR s Concurrent Commercial Frequently Asked Questions: 2014 CMS IPPS FINAL RULE September 12, 2013 FAQ Categories Inpatient Admission Criteria 2 Midnight Rule... 3 Medical Review Criteria...
More informationJane Snecinski, FACHE Post Acute Advisors, LLC P.O. Box 12078 Atlanta, GA 30355 www.postacuteadvisors.com
Jane Snecinski, FACHE P.O. Box 12078 Atlanta, GA 30355 www.postacuteadvisors.com RAC Demonstration Project 3 year demonstration project Greatest impact to IRF from California Issue with greatest impact
More informationDEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services. Mental Health Services
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services Mental Health Services ICN 903195 September 2013 This booklet was current at the time it was published or uploaded onto
More information410-127-0020 Definitions... 1. 410-127-0040 Coverage... 5. 410-127-0050 Client Copayments... 6. 410-127-0060 Reimbursement and Limitations...
Home Health Services Administrative Rulebook Division of Medical Assistance Programs Policy and Planning Section Table of Contents Chapter 410, Division 127 Effective January 1, 2014 410-127-0020 Definitions...
More informationSCHOOL HEALTH SERVICES PROGRAM PROGRAM MANUAL
[Type here] SCHOOL HEALTH SERVICES PROGRAM PROGRAM MANUAL Section 3 Random Moment Time Study The School Health Services Program is a joint effort between the Colorado Department of Education and Department
More informationPsychiatric Rehabilitation Clinical Coverage Policy No: 8D-1 Treatment Facilities Revised Date: August 1, 2012. Table of Contents
Table of Contents 1.0 Description of the Procedure, Product, or Service... 1 2.0 Eligible Recipients... 1 2.1 Provisions... 1 2.2 EPSDT Special Provision: Exception to Policy Limitations for Recipients
More informationRegulatory Compliance Policy No. COMP-RCC 4.11 Title:
I. SCOPE: Regulatory Compliance Policy No. COMP-RCC 4.11 Title: Page: 1 of 7 INPATIENT REHABILITATION FACILITY ADMISSION, CONTINUED STAY, AND DISCHARGE CRITERIA Effective Date: 05-29-13 Retires Policy
More informationInpatient rehabilitation facility services
C h a p t e r10 Inpatient rehabilitation facility services R E C O M M E N D A T I O N 10 The Congress should eliminate the update to the Medicare payment rates for inpatient rehabilitation facilities
More informationAdministrative Guide
Community Plan KanCare Program Physician, Health Care Professional, Facility and Ancillary Provider Administrative Guide Doc#: PCA15026_20150129 UHCCommunityPlan.com Welcome to UnitedHealthcare This administrative
More informationGAO MEDICARE. More Specific Criteria Needed to Classify Inpatient Rehabilitation Facilities
GAO United States Government Accountability Office Report to the Senate Committee on Finance and the House Committee on Ways and Means April 2005 MEDICARE More Specific Criteria Needed to Classify Inpatient
More informationDEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services. Mental Health Services
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services Mental Health Services ICN 903195 January 2015 This booklet was current at the time it was published or uploaded onto the
More informationMedicare Claims Processing Manual Chapter 5 - Part B Outpatient Rehabilitation and CORF/OPT Services
Medicare Claims Processing Manual Chapter 5 - Part B Outpatient Rehabilitation and CORF/OPT Services Transmittals for Chapter 5 Table of Contents (Rev. 3220, 03-16-15) 10 - Part B Outpatient Rehabilitation
More informationPROVIDER MANUAL Rehabilitative Therapy Services
KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL Rehabilitative Therapy Services Physical Therapy Occupational Therapy Speech/Language Pathology PART II REHABILITATIVE THERAPY PROVIDER MANUAL Introduction
More informationRegulatory Compliance Policy No. COMP-RCC 4.52 Title:
I. SCOPE: Regulatory Compliance Policy No. COMP-RCC 4.52 Page: 1 of 19 This policy applies to (1) Tenet Healthcare Corporation and its wholly-owned subsidiaries and affiliates (each, an Affiliate ); (2)
More informationPREPARING THE PATIENT FOR TRANSFER TO AN INPATIENT REHABILITATON FACILITY (IRF) University Hospitals 8th Annual Neuroscience Nursing Symposium
PREPARING THE PATIENT FOR TRANSFER TO AN INPATIENT REHABILITATON FACILITY (IRF) University Hospitals 8th Annual Neuroscience Nursing Symposium May 31, 2013 2 DEFINITION: INPATIENT REHABILITATION FACILITY
More informationIncident To Services Documentation and Correct Billing July 23 2013 Presented by: Ellen Berra, Outreach Senior Analyst Karen Kroupa, Outreach Analyst
Incident To Services Documentation and Correct Billing July 23 2013 Presented by: Ellen Berra, Outreach Senior Analyst Karen Kroupa, Outreach Analyst Agenda Overview Documentation Requirements Part A Part
More informationState Operations Manual Appendix E - Guidance to Surveyors: Outpatient Physical Therapy or Speech Pathology Services
State Operations Manual Appendix E - Guidance to Surveyors: Outpatient Physical Therapy or Speech Pathology Services Transmittals for Appendix E INDEX 485.703 Definitions (Rev. 119, 07-25-14) 485.707 Condition
More informationBasics of Skilled Nursing Facility Consolidated Billing (SNF-CB) Medicare Part A and B Presentation March 19, 2013
Basics of Skilled Nursing Facility Consolidated Billing (SNF-CB) Medicare Part A and B Presentation March 19, 2013 2 Agenda Skilled Care Defined Background on SNF-CB Under Arrangements Inclusions and Exclusions
More informationCOM Compliance Policy No. 3
COM Compliance Policy No. 3 THE UNIVERSITY OF ILLINOIS AT CHICAGO NO.: 3 UIC College of Medicine DATE: 8/5/10 Chicago, Illinois PAGE: 1of 7 UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE CODING AND DOCUMENTATION
More informationSeptember 4, 2012. Submitted Electronically
September 4, 2012 Ms. Marilyn Tavenner Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1589-P P.O. Box 8016 Baltimore, MD 21244-8016
More informationOccupational therapy Speech-language pathology (SLP)
2009 Medicaid Transformation Program Review Outpatient Therapy Services Description Rehabilitative therapy services are optional Medicaid services which include physical therapy, occupational therapy,
More informationREHAB RULES REVISITED
REHAB RULES REVISITED by CHERILYN G. MURER, J.D., C.R.A. Recent changes in the rules governing inpatient rehabilitation hospitals and units, particularly the implementation of the new prospective payment
More informationHandbook for Providers of Therapy Services
Handbook for Providers of Therapy Services Chapter J-200 Policy and Procedures For Therapy Services Illinois Department of Healthcare and Family Services CHAPTER J-200 THERAPY SERVICES TABLE OF CONTENTS
More informationUnderstanding October 1 st MDS Changes and PEPPER Letters 2013
Understanding October 1 st MDS Changes and PEPPER Letters 2013 Agenda Changes in the MDS MDS Item Changes Reporting Rehab Minutes Hospital Inpatient Criteria (Two Midnight Provision) Reading PEPPER Letters
More informationAn Update on Outpatient Therapy Services
An Update on Outpatient Therapy Services The Centers for Medicare & Medicaid Services (CMS) recently issued a Medicare Learning Network (MLN) Matters article listing the therapy codes for calendar year
More informationDeciphering the Details:
Deciphering the Details: An update on implementing PPS for inpatient rehabilitation facilities. By: Cherilyn G. Murer, J.D., C.R.A. President & CEO - The Murer Group Reimbursement for operating costs of
More informationUtilization Review and Denial Management
September 2014 Clinical Resource Management Series Part 3 of 10 Utilization Review and Denial Management Part 3 in our Clinical Resource Management (CRM) series is focused on utilization review and denial
More informationRecord. John F. Morrall. Subject: Regulatory Reform Improvements ; Fed Register, Vol 67, Num. 60,3/28/02. Dear Mr. Morrall,
54 Bob Losby BTLosby@rehabcare.com 05 28 2002 PM Record Type: Record To: John F. Morrall Subject: Regulatory Reform Improvements ; Fed Register, Vol 67, Num. 60,3/28/02 Dear Mr. Morrall, We submit the
More informationREHABILITATION SERVICES
REHABILITATION SERVICES Table of Contents GENERAL... 2 TERMS AND ABBREVIATIONS... 2 PRIOR AUTHORIZATION REQUIREMENTS FOR MEDICAID REIMBURSEMENT OF INPATIENT REHABILITATION SERVICES (Updated 4/1/11)...
More informationInpatient Transfers, Discharges and Readmissions July 19, 2012
Inpatient Transfers, Discharges and Readmissions July 19, 2012 Discharge Status Codes Two-digit code Identifies where the patient is at conclusion of encounter Visit Inpatient stay End of billing cycle
More informationRE: CMS-1455-P Medicare Program; Part B Inpatient Billing in Hospitals
Marilyn Tavenner Acting Administrator and Chief Operating Officer Centers for Medicare and Medicaid Services Department of Health and Human Services Room 445-G Hubert H. Humphrey Building 200 Independence
More informationMedicare Inpatient Rehabilitation Facility Prospective Payment System
Medicare Inpatient Rehabilitation Facility Prospective Payment System Payment Rule Brief Proposed Rule Program Year: FFY 2014 Overview, Resources, and Comment Submission On May 8, 2013, the Centers for
More informationPalliative Care Billing, Coding and Reimbursement
Palliative Care Billing, Coding and Reimbursement Anne Monroe, MHA Physician Practice Manager Hospice of the Bluegrass and Palliative Care Center of the Bluegrass Kentucky 1 Objectives Review coding and
More informationCODING. Neighborhood Health Plan 1 Provider Payment Guidelines
CODING Policy The terms of this policy set forth the guidelines for reporting the provision of care rendered by NHP participating providers, including but not limited to use of standard diagnosis and procedure
More informationInpatient Rehabilitation Facility Clients Glen Langlinais Date: December 13, 2000 Subject: Proposed PPS Rule. To: From:
To: From: Inpatient Rehabilitation Facility Clients Glen Langlinais Date: December 13, 2000 Subject: Proposed PPS Rule Well, the wait is finally over! The Health Care Financing Administration (HCFA) has
More informationPROTOCOLS FOR OCCUPATIONAL THERAPY PROVIDERS
PROTOCOLS FOR OCCUPATIONAL THERAPY PROVIDERS Type of Services Provided Services provided by Occupational Therapy providers are covered for Santa Barbara Health Initiative (SBHI), San Luis Obispo Health
More informationMedicare Inpatient Rehabilitation Facility Prospective Payment System
Medicare Inpatient Rehabilitation Facility Prospective Payment System Payment Rule Brief FINAL RULE Program Year: FFY 2014 Overview and Resources On August 6, 2013, the Centers for Medicare and Medicaid
More informationFrequently Asked Questions Recovery Auditor Outpatient Therapy Claims As of April 17, 2013
Frequently Asked Questions Recovery Auditor Outpatient Therapy Claims As of April 17, 2013 1. Q. Why is CMS conducting manual review on therapy claims? A. On January 2. 2013 President Obama signed into
More informationTab 7: OASIS Questions and Answers
Reference Manual Tab 7: OASIS Questions and Answers RM-429 RM-430 CATEGORY 1 APPLICABILITY [Q&A EDITED 09/09] Q1. To whom do the OASIS requirements apply? A1. The comprehensive assessment and OASIS data
More informationSECTION Z: ASSESSMENT ADMINISTRATION. Z0100: Medicare Part A Billing. Item Rationale. Coding Instructions for Z0100A, Medicare Part A HIPPS Code
SECTION Z: ASSESSMENT ADMINISTRATION Intent: The intent of the items in this section is to provide billing information and signatures of persons completing the assessment. Z0100: Medicare Part A Billing
More informationNEW YORK STATE MEDICAID PROGRAM REHABILITATION SERVICES PROCEDURE CODES & FEE SCHEDULE
NEW YORK STATE MEDICAID PROGRAM REHABILITATION SERVICES PROCEDURE CODES & FEE SCHEDULE Table of Contents General Rules and Information... 3 Occupational Therapist, Physical Therapist and Speech Language
More informationTHE EFFECTS OF ELIMINATING THE PERSONAL PTA SUPERVISION REQUIREMENT ON THE FINANCIAL CAPS FOR MEDICARE THERAPY SERVICES
REPORT TO CONGRESS STANDARDS FOR SUPERVISION OF PHYSICAL THERAPIST ASSISTANTS (PTAs) AND THE EFFECTS OF ELIMINATING THE PERSONAL PTA SUPERVISION REQUIREMENT ON THE FINANCIAL CAPS FOR MEDICARE THERAPY SERVICES
More informationMidlevel Practitioner Billing and Incident To
Midlevel Practitioner Billing and Incident To Health Care Compliance Association North Central Regional Conference October 5, 2012 Presented by Joy Newby, LPN, CPC, PCS Newby Consulting, Inc. 5725 Park
More information