Eli's Rehab Report
Audits: OIG Continues to Target Medical Necessity
Texas City, Texas -- Good documentation always counts -- even after you're reimbursed for those services -- because sooner or later, the HHS Office of Inspector General could be scrutinizing your records. That's what happened with Gulf City Health Care Center in Texas City, Texas. The OIG reviewed the facility's rehabilitation claims for medical necessity and adequate documentation. Of the 100 claims the OIG sampled, Gulf submitted 69 claims that did not meet Medicare requirements, according to the Office's July 13 report. The dollar figure: "Based on our sample results, we estimate Medicare overpaid Gulf at least $671,456 for services that did not meet Medicare requirements," the OIG said, with the recommendation that Gulf refund Medicare for this amount. Gulf disagreed with the findings.
Eli's Rehab Report
- Outpatient Outlook:
Stay in the Loop on Key Changes CMS Proposes for Next Year
Welcome some good news about your recertification periods A new proposed rule from CMS hit [...] - Practice Pointers:
Clear up PQRI Confusion -- and Set Yourself up for Some Cash
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Keep an Eye on the SCHIP Bill
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Protect Private Information From the Public Eye
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In this recurring feature, Physical Medicine & Rehab Coding Alert provides you with summaries of [...] - Reader Question:
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Pare Down Your Eval Time With a Questionnaire
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Mergers and Acquisitions:New Physiotherapy Associates to 'Change the Face of the Industry
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Reimbursement: CMS Considers New Wound-Care Service Regulations
Alexandria, Va. -- Physical therapists performing wound-care services at outpatient hospitals could be affected by [...] - News Brief:
Audits: OIG Continues to Target Medical Necessity
Texas City, Texas -- Good documentation always counts -- even after you're reimbursed for those [...]
