You saw how three ophthalmologists would fare under the proposed E/M payment changes —now check out what the impact would be to three optometrists whose data we sampled. Using the current E/M payment levels and comparing them to the proposed [...]
Conflicts of interest continue to plague Medicaid home care programs, possibly leading to ineligible patients receiving care and improper payments, the Government Accountability Office says in a new report. Home- and community-based service pro-viders "may have a financial interest in [...]
Plus, VNSNY faces Medicaid fraud scandal. The feds are racking up guilty pleas and lengthy jail sentences across the country as they keep the pressure on Medicare Fraud Strike Force cities. Recent announcements from the Medicare home care fraud capital [...]
HHAs will see long-awaited underpayments finally fixed. Don't be surprised if you continue to see lots of home health agency claims adjustments from regional home health intermediary Palmetto GBA. The intermediary is currently working its way through adjustments for five [...]
CMS reveals PPS details in forum.The year-end rush to implement prospective payment system changes may not be as frantic as you feared--if the feds can stick to their timeline.Industry observers have widely expected the Centers for Medicare & Medicaid Services [...]
Cap exceptions go fully automatic this year As many orthopedic practices know, the -therapy cap- limits Medicare beneficiaries to a combined physical therapy (PT) and speech language pathology (SLP) maximum of $1,780 in annual benefits. Medicare patients face a separate [...]
With only a $40 raise, experts weigh in on what will affect you most.The outpatient therapy cap will go from $1,740 to $1,780 in 2007 for both PT/SLP and OT...quot; but that's not where the changes stop. Get to know [...]
With only a $40 raise, experts weigh in on what will affect you most The therapy cap will go from $1,740 to $1,780 in 2007 for both PT/SLP and OT, CMS says in Transmittal 1106 issued Nov. 9. But that's [...]
CMS offers 3 key changes to the therapy cap for outpatients.The therapy cap will go from $1,740 to $1,780 in 2007 for both PT/SLP and OT, the Centers for Medicare & Medicaid Services (CMS) says in Transmittal 1106. But that's [...]
What you don't know could cost your Part B therapy business $1,000sThe new Medicare reimbursement caps for outpatient therapy could drastically limit the therapy services you provide in your office--unless you know the ropes.Congress originally passed the caps, which apply [...]
