Spectrum Rehabilitation, LLC, Claimed Unallowable Medicare Part B Reimbursement for Outpatient Therapy Services

The Office of the Inspector General (OIG) has released a report regarding the billing of and reimbursement for outpatient therapy services by Spectrum Rehabilitation, LLC (Spectrum). The OIG estimates that Spectrum, operating in New Jersey, improperly received at least $3.1 million in Medicare reimbursement for outpatient occupational and physical therapy services that did not comply…

Acceptable Submission Methods for ADRs

The Centers for Medicare and Medicaid Services (CMS) has issued guidance and clarification on acceptable submission methods when providers receive an additional development request (ADR). The clarification includes information on what documentation submission methods contractors will accept from providers and CMS recommends Medicare contractors to provide an actual physical address instead of a P.O. Box…

ICD-10 Implementation Guide

The Centers for Medicare and Medicaid Services (CMS) has developed an online ICD-10 implementation guide. This web-based tool, released as part of Health IT Week, includes a basic overview of ICD-10 as well as step-by-step guidance on how to transition to ICD-10 for small/medium practices, large practices, small hospitals, and payers. Users can easily navigate…