CMS has heard them too! So many myths in fact that they just published a document on December 18 called, “RAC Program Myths.“ It was put together in a very familiar question and answer type format. I’ve heard a few of these myths and have blogged on several of these topics; perhaps you want the real answer. I encourage you to…
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More than two years has lapsed since IRFs were provided an extremely prescribed set of conditions as coverage requirements for Medicare paid services to beneficiaries accessing an inpatient rehabilitation level of care. Since that time, there has been national education, clarification discussions and a series of documents posted at the CMS website to assist providers in the details that defined those 2010…
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If you need to educate staff about the importance of documentation and protecting hard earned revenue, you need to look no farther than an excellent resource provided by the Medicare Learning Network entitled ‘Contractor Entities At a Glance,’ this comprehensive chart provides entity name, definitions and responsibilities along with the reasons those particular agencies may contact you. In a few short…
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Program for Evaluating Payment Patterns Electronic Report (PEPPER) is on the horizon for inpatient rehabilitation facilities (IRFs). Units and free standing facilities have been notified by nih.gov that PEPPER is soon on its way and its nothing to sneeze at. These are continuous initiatives to engage facilities in managing through data transparency and monitoring activity against norms to identify high…
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