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News

03/09/26

Billing for Therapy Services Using My NPI When I am Out of the Country

All therapists take vacation at some point. It is well deserved! Some therapists are fortunate enough to vacation outside of the United States. However, while you are in Europe, Asia, South America, the Caribbean, etc., something could be going terribly wrong back at your practice. In this article, I will answer the following questions:

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08/15/19

Inpatient Rehabilitation Facility Billing Requirements

Due to a recent report by the Office of the Inspector General that found payments for Inpatient Rehabilitation Facility (IRF) services did not comply with Medicare billing requirements, CMS developed the IRF Prospective Payment System booklet as well as additional resources in assisting IRFs become more compliant with IRF billing. To access these resources, click HERE.

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05/13/19

OIG Cases Involving Physical Therapy and Physical Therapists

Last week, the Office of the Inspector General (OIG) published 3 enforcement actions involving physical therapy. I will provide a brief summary of the 3 enforcement actions and a link to each action. In the first enforcement action, physical therapist Hatem Behiry was found guilty of participating in a $30 million scheme to defraud Medicare and the New York State Medicaid Program. Per the OIG report, Hatem Behiry “pretended to provide physical therapy to many of those same patients, most of whom were receiving cash kickbacks for coming to the Clinics”. In addition, BEHIRY “also prepared and oversaw the preparation

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