PA nursing home settles overbilling lawsuit for $819,000
By
John Hall
Aug 03, 2022
A Pennsylvania nonprofit nursing home in the process of being sold has agreed to settle a whistleblower lawsuit alleging it overbilled the government $819,000 for physical therapy services.
PDPM lowered therapy minutes but not outcomes, study shows
By
James M. Berklan
Jan 12, 2022
Skilled nursing patients received about 13% fewer therapy minutes after the onset of the Patient-Driven Payment Model in October 2019 but that did not hurt outcomes or rehospitalization rates, researchers...
Therapists think SMART: #FightTheCuts
By
Renee Kinder
Nov 18, 2021
On Nov. 2, the Centers for Medicare & Medicaid Services issued a final rule that includes updates on policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part...
Don’t minimize de minimis: Understanding the newly proposed Physician Fee Rule
By
Renee Kinder
Jul 15, 2021
Conversion factor, telehealth, supervision requirements and health equity were all outlined in this week’s publication of the Centers for Medicare & Medicaid Services’ CY 2022 Physician Fee Schedule...
CMS finalizes ‘shocking’ 9% therapy cuts, while affirming vast expansion of telehealth pay provisions
By
James M. Berklan
Dec 01, 2020
The Centers for Medicare & Medicaid Services formally announced Tuesday afternoon that it has finalized its calendar 2021 physician pay rule, which cuts physical and occupational therapy payments to nursing...
Four skilled nursing facilities and two financial consultants they used to bill for therapy services agreed last week to a $6 million settlement to resolve fraud allegations.
Scripps Health to pay $1.5 million to settle claims related to services by unauthorized physical therapists
By
Kimberly Marselas
Jan 23, 2018
San Diego-based Scripps Health has agreed to pay $1.5 million to resolve allegations that it violated the False Claims Act.
How to address progress in therapy documentation
By
Jean Wendland Porter
Apr 28, 2017
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
By
John Hall
Mar 03, 2015
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
By
Patricia Boyer
Jul 01, 2013
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...