Outpatient Physical Therapy

Therapy overpayments may surpass $700 million a year, OIG suggests

Therapy overpayments may surpass $700 million a year, OIG suggests

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A federal review of outpatient physical therapy payments found Medicare likely overpaid $367 million during a six-month period.

CMS: Many skilled nursing providers have poor Medicare certification and recertification practices

CMS: Many skilled nursing providers have poor Medicare certification and recertification practices

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The rate of improper Medicare payments to skilled nursing facilities has increased largely due to issues with certification and recertification statements, according to a recently released government memorandum. The Centers for Medicare & Medicaid Services document summarizes requirements that SNF physicians, non-physician practitioners (NPPs) and billing staffs must meet for compliance.