CMS Releases 2018 Final Rule for Services Paid Under the MPFS

On November 2, 2017, the Centers for Medicare and Medicaid Services (CMS) released the final rule for services paid under the Medicare Physician Fee Schedule (MPFS). This final rule impacts providers and suppliers of outpatient physical and occupational therapy services as well as speech-language pathology services. This would include outpatient therapy services provided in the…

CMS Clarifies Signature Requirements

The Centers for Medicare and Medicaid Services (CMS) has issued revised instructions related to signature requirements to clarify that the responsible party has accepted responsibility for the care of the beneficiary and authenticated related documentation. CMS discusses illegible signatures, signatures missing from documentation, signature log, and signature attestation statement. In the revised instructions, the CMS…

Optum’s Requirements for Reimbursement of Timed Therapeutic Services

UnitedHealth Group offers products and services through two operating businesses, UnitedHealthcare and Optum, both subsidiaries of UnitedHealth Group. Optum include three divisions: OptumInsight – Health Data Analytic, Payment Integrity, Life Science, Risk Quality & Network Solutions, Medical Billing OptumRx – Pharmacy Benefit Manager (now includes all Unitedhealthcare membership) and Catamaran acquisition OptumHealth – Healthcare delivery…