Therapy Billing

How to address progress in therapy documentation

How to address progress in therapy documentation

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One of the fallacies that we suffer under as therapists in SNFs is the mythology of the "Plateau."

ArchCare to pay $3.5M to settle rehab billing complaint

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A New York nursing home chain agreed Monday to pay $3.5 million to settle government allegations it failed to prevent a rehab subcontractor from overbilling Medicare for therapy.

Ask the payment expert ... about monitoring therapy services

Ask the payment expert ... about monitoring therapy services

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Q: What should an administrator do to monitor therapy services in his or her facility? A: The main fact to remember is that you are responsible for what happens in your therapy department, even if you have a contract company.

AHCA opposes manual review system for therapy claims, launches provider feedback clearinghouse

AHCA opposes manual review system for therapy claims, launches provider feedback clearinghouse

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As part of its pushback against the manual review process for therapy claims, the American Health Care Association has launched a clearinghouse to gather provider feedback. AHCA President Mark Parkinson described the RAC-led review process as "bifurcated, confusing and wholly inappropriate" in a four-page letter sent to Acting CMS Administrator Marilyn Tavenner last week.

Latest whistleblower lawsuit pricetag runs to $2.7 million

Latest whistleblower lawsuit pricetag runs to $2.7 million

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Federal authorities cracked down on another regional long-term care provider recently, reaching a roughly $2.7 million settlement in a lawsuit centering on alleged false therapy billing.

Upon further review

Upon further review

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Providers recoiling from recent uptick in therapy claim audits should expect even more scrutiny in the future as regulators look to increase surveillance.