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On January 1st, 2017, the Centers for Medicare and Medicaid Services (CMS) made changes in order to improve its payment for quality programs. It combined several programs into one Merit-based Incentive Payment System (MIPS). We touched on the basics of these [...]
To receive payment from any insurer for occupational or physical therapy services, the documentation must accurately report medically necessary service. It must also support the charges submitted on the claim. Medicare, however, has some other rules that [...]
Therapy facilities get a little nervous when the discussion turns to Medicare fraud. A medical claims audit may drudge up things you don't want to hear. The goal of a post- or prepayment audit by Medicare is not to cause distress. The goal is to provide [...]