by Amie Martin | Sep 7, 2018 | Audits, Compliance, Consulting, PDPM, Reimbursement, Therapy
CMS issued the final rule for Fiscal Year (FY) 2019 SNF Prospective Payment System (PPS) announcing that the Patient-Driven Payment Model (PDPM) will take effect October 1st, 2019, replacing the current PPS RUGs-IV model. How will your facility fare under PDPM?... by PMR Team | Feb 14, 2018 | Medicare, Reimbursement, Therapy
Medicare Part B therapy caps have been permanently repealed as part of the bipartisan budget deal passed last week and signed by President Trump on Friday, 2/9/18. The repeal will be retroactive to January 1, 2018, but claims over $2010.00 (OT or PT/SLP combined) will... by PMR Team | Nov 8, 2017 | Compliance, Medical Review, Therapy
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. CMS has announced plans to expand the targeted probe approach to medical review to all MACs (Medicare Administrative Contractors.) TPE includes processes... by PMR Team | Oct 4, 2017 | Audits, Compliance, Education, Medical Review, Medicare, SNF, Therapy
This four part webinar series reviews recent trends of rehabilitation service medical review, common denial trends and proactive measures to reduce risk and improve outcomes during active medical review. Recent audit activity will be discussed under both part A and... by PMR Team | Jul 24, 2017 | Therapy
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. Two Changes to KY Physical Therapy Practice Act As of June 2, 2017, the Kentucky Board of Physical Therapy set forth changes according to 201 KAR 22:053,... by PMR Team | Feb 21, 2017 | Medical Review, Therapy
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. On February 1st, a Vermont U.S. District Court Judge filed a decision ordering CMS to implement a Corrective Action Plan for improved education related to...