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Tuesday, June 19, 2018

CMS Home Health Agency Teleconference

The Centers for Medicare and Medicaid Services (CMS) will be hosting a teleconference on June 27, 2018 from 2:00pm – 3:0pm eastern time. During this call, learn about proposed modifications to the way CMS calculates Home Health Quality of Patient Care star ratings, including: Removal of the Drug Education on All Medications Provided to Patient/Caregiver…

Monday, June 18, 2018

Complying With Medicare Signature Requirements

Documentation must meet Medicare’s signature requirements. If Medicare claims reviewers cannot validate the signatures, Medicare Administrative Contractors (MACs) deny the claim, assess an error, and begin recouping overpayments. Questions I receive regarding signatures include the following: How does CMS define a handwritten signature? What if I use a scribe when documenting medical record entries? What…

Thursday, June 14, 2018

Medicare IMPACT Act Teleconference

The Centers for Medicare and Medicaid Services (CMS) will be hosting a teleconference on June 21, 2018 from 2:00pm – 3:00pm eastern time on the IMPACT Act. During this call, learn more about the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act). CMS answers your frequently asked questions on quality measures, standardized data…

Wednesday, June 13, 2018

Accepting Referrals From Psychologists and Psychiatrists

Our clinic has started getting referrals from psychologists and psychiatrists for Occupational Therapy and Speech Therapy. However, I am unclear on whether or not our insurance payers will accept a referral from theses sources and cannot seem to get a consistent answer. Do you have the answer or would you be able to point me…

Monday, June 11, 2018

Does Medicare Pay CPT Code 97750 Same Day as an Evaluation

Does the Medicare program pay for CPT code 97750 (physical performance test or measurement) the same day a provider also bills either a physical therapy (PT) evaluation, PT reevaluation, occupational therapy (OT) evaluation, or OT reevaluation CPT code? Of course, the answer is not as easy as a simple yes or a simple no. A…

Tuesday, June 5, 2018

Chiropractors and Dentists Signing a Medicare Plan of Care

A question I often receive is can a chiropractor and/or a dentist sign an outpatient therapy plan of care for Medicare beneficiaries receiving outpatient physical, occupational and/or speech therapy services? The answer is

Monday, June 4, 2018

Can a Midwife Sign a Therapy Plan of Care

A question I get every so often is can a midwife sign a plan of care for a Medicare beneficiary attending outpatient therapy services. In addition, what professionals can sign an outpatient therapy plan of care? In this article, I will answer both of these questions. Midwifery education programs leading to the certified nurse midwife…

Monday, June 4, 2018

UnitedHealthcare Oxford Policy Updates

UnitedHealthcare Oxford has revised their policy on electrical stimulation for the treatment of pain and muscle rehabilitation with an effective date of June 1, 2018. The revised policy discusses functional electrical stimulation (FES), neuromuscular electrical stimulation (NMES), interferential therapy (IFT) and microcurrent electrical nerve stimulation (MENS), just to name a few. The revised policy states…

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