HC Compliance Essentials

Do IRF POCs Need To Have Physician Signatures?

Here are the two CMS links you need to stand up to surveyors. Question: I manage an acute inpatient rehab department, and we had a CMS survey last summer. All was good, except the surveyors said that a physician needed…

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Feds Pinpoint Therapy in Major NPP Incident To Snafus

Here’s where lots of hospitals unknowingly make big physician supervision compliance blunders. A recent report from the HHS Office of Inspector General notes that a sizable number of practitioners, including therapists, aren’t…

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PT Pleads Guilty to Falsifying Medicare Claims

A Detroit-area physical therapist (PT) has learned the hard way that fraudulently billing Medicare will eventually catch up with you. According to an Aug. 26 press release from the FBI’s Detroit office, the PT pleaded…

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NJ Practice Busted for Providing PT, Claiming Surgeries

Modifier misuse, POS coding errors might be partly responsible for one physician’s legal troubles. A New Jersey practice allegedly overbilled Medicare by almost $5 million by fraudulently reporting lymphedema procedures to its carrier. Although the practice billed for surgery that…

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HEAT in Houston & Other Urban Areas

Texas Medical Center Lesson Learned: Health care providers in medical centers harbor fraudsters in their midst —and increased federal scrutiny. If you’re a health care provider near a university medical center…

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