Eli's Rehab Report
CMS Wraps Up MAC Contracting Project
The Centers for Medicare & Medicaid Services announced its final five Medicare Administrative Contractors, according to a Jan. 7 press release. CMS has now awarded all 15 MAC contracts. Contractors will immediately begin implementation activities and will assume full responsibility for the claims processing work in their jurisdictions no later than March 2010, CMS said. The five new MACs are: • Noridian Administrative Services for Jurisdiction 6 (Illinois, Minnesota, and Wisconsin); • National Government Services for Jurisdiction 8 (Indiana and Michigan); • Cahaba Government Benefit Administrators for Jurisdiction 10 (Alabama, Georgia, and Tennessee); • Palmetto Government Benefits Administrators for Jurisdiction 11 (North Carolina, South Carolina, Virginia, and West Virginia); and • Highmark Medicare Services for Jurisdiction 15 (Kentucky and Ohio). To read more about things to consider during the MAC transitions, see
For a complete list of contractors and the states they cover, visit www.cms.hhs.gov/MedicareContractingReform.
Eli's Rehab Report
- Compliance:
Provider Enrollment Changes Could Take a Bite Out of Your Claims
Strategy: Get your new therapists on board early. Heads up, outpatient rehab providers in private [...] - Inpatient Insights:
4 Red Flags That Spell Payer Scrutiny at Your IRF
Plus, things you may not know you can do with physician orders. You know how [...] - Practice Pointers:
Try These 3-Hour Rule Strategies on for Size
Nail this requirement any way you look at it. Having trouble keeping up with the [...] - *News Flash* :
Good News: Congress Turns Attention to Rehab Once Again
Lawmakers shoot for a full therapy cap repeal. Looking for relief in recession? Therapy cap [...] - CLINICAL REHAB ROUNDUP:
Treating COPD? Home Rehab a Viable Alternative to Outpatient Rehab
Effects of home-based pulmonary rehabilitation in patients with chronic obstructive pulmonary disease: a randomized trial. [...] - Tool:
Keep Track of PQRI Measures
Know the correct quality data codes to put on your claims form. If you're a [...] - READER QUESTIONS:
Clear Up Confusion Over the Word 'Agency'
Question: When you refer to rehab agencies in the fee schedule story in Eli's Rehab [...] - READER QUESTIONS:
What to Do With a PT and OT Coding Crossover
Question: What happens if physical therapy and occupational therapy is working on the same patient [...] - NEWS BRIEFS:
Got NPWT Devices? Gear Up for Coding Changes
If your practice or facility administers negative pressure wound therapy, watch for upcoming HCPCS code [...] - NEWS BRIEFS:
OIG Slams Mississippi Doctor for PT Fraud
A licensed Mississippi physician was arrested in December for fraudulently billing the federal government $16 [...] - NEWS BRIEFS:
CMS Wraps Up MAC Contracting Project
The Centers for Medicare & Medicaid Services announced its final five Medicare Administrative Contractors, according [...] - NEWS BRIEFS; Michigan to Hand SLPs Licensure Requirements
On Dec. 19, 2008, Michigan became the 48th state to pass licensure legislation for speech-language [...]
