• Compliance Considerations with Holiday Gift Giving Image

    articleDec 11, 2014

    Compliance Considerations with Holiday Gift Giving

    The holidays are here; I love this time of year—it’s a time for reflection, for feeling grateful, and for giving gifts. As you create your gift-giving list, you may find yourself adding friends who also are your peers. Unfortunately, a problem can arise when you give a gift to someone who has the ability to refer patients to you, because you could inadvertently violate the Anti-Kickback Statute (AKS). This is a good place for me to insert …

  • Count on Your EMR for Medicare Compliance Image

    articleNov 24, 2014

    Count on Your EMR for Medicare Compliance

    Nothing in life is certain except for death and taxes, and—for all of you PTs, OTs, and SLPs–– Medicare compliance . Documenting with paper and pen feels a lot like submitting your tax return via paper filing: checking line by line to make sure you provided all applicable information; double––or triple––checking your math; and waiting (and waiting and waiting) for your refund. But compliance doesn’t have to bring about the same feelings of dread you associate with …

  • PQRS FAQ Image

    articleNov 20, 2014

    PQRS FAQ

    PQRS regulations change every year, which makes it tough to stay on top of the requirements. That’s why I’ve organized the most common questions regarding PQRS 2015 and posted them here. Have additional questions? Share them in the comments section, and I’ll post a second Q&A post at the end of the month following our PQRS webinar . General Questions What is PQRS? Created by the Centers for Medicare and Medicaid Services (CMS), Physician Quality Reporting System …

  • GPRO 2015: Is it Worth it? Image

    articleNov 19, 2014

    GPRO 2015: Is it Worth it?

    Last week, we covered the registry-and claims-based reporting methods for PQRS. In this post, I’ll discuss the complexities associated with reporting PQRS using the Group Practice Reporting Option (GPRO). In past years, GPRO seemed to be the most practical option for practices with more than two eligible professionals. This year, however, Medicare added more stipulations to the GPRO program—and in some cases, those add-ons might make the whole thing more trouble than it’s worth. The Basics of …

  • The 2015 Therapy Cap: Same Story, Different Year Image

    articleNov 18, 2014

    The 2015 Therapy Cap: Same Story, Different Year

    With all of the blog space we’ve devoted to PQRS this month, it’s easy to forget that Medicare’s final rule addresses more than just our favorite four-letter acronym. But buried deep within CMS’s annual 1, 000-plus-page behemoth of government jargon is one more major item of interest to those in the PT, OT, and SLP industries: the therapy cap. First, the good news: in accordance with the Medicare Economic Index (MEI), both cap amounts—the one for occupational …

  • PQRS 2015 Measures Image

    articleNov 17, 2014

    PQRS 2015 Measures

    While PQRS measures specifications won’t be available until December, we do know which individual measures are available for 2015. Here’s the breakdown by specialty: PT #126 Diabetes Foot/Ankle Evaluation #127 Diabetes - Footwear Evaluation #128 BMI screening #130 Current Medications #131 Pain Assessment #154 Falls Risk Assessment #155 Falls POC #182 Functional Outcome Assessment OT #128 BMI screening #130 Current Medications #131 Pain Assessment #154 Falls Risk Assessment #155 Falls POC #134 Preventative Screening Clinical Depression #173 …

  • Here's What PTs, OTs, and SLPs Need to Know About PQRS 2015 Image

    articleNov 13, 2014

    Here's What PTs, OTs, and SLPs Need to Know About PQRS 2015

    In the spirit of the season, today we give thanks for Medicare’s brand new Final Rule . Drier than overcooked turkey, we decided to carve up this bird into the most pertinent chunks of Physician Quality Reporting System (PQRS) information for you and your practice so you don’t have to. Here’s what you need to know about PQRS 2015: Measures, Measures, Measures Medicare likes measures––225 of them to be exact––and they don’t care who knows. Thankfully, all …

  • PQRS vs. FLR: What's With All These G-Codes? Image

    articleNov 11, 2014

    PQRS vs. FLR: What's With All These G-Codes?

    FFS, POC, CMS, PQRS, FLR—it can be hard to keep track of Medicare’s long list of acronyms . Throw in G-codes, and you might find yourself drowning in alphabet soup. Even more confusing: we use G-codes for both PQRS and FLR, and yet, these two types of G-codes are not interchangeable. PQRS G-Codes Let’s start with PQRS. Chances are, if you treat Medicare Part B patients, you’re reporting PQRS G-codes to CMS to either avoid a penalty …

  • Why Providers Should go Registry-Based Instead of Claims-Based Image

    articleNov 10, 2014

    Why Providers Should go Registry-Based Instead of Claims-Based

    It’s the most wonderful time of the year. No, I am not talking about the upcoming holiday season ; I’m talking about the L, M, N, O—wait for it—PQRS season. Now, before you roll your eyes at what you might call misplaced cheer, let me explain: PQRS doesn’t have to be groan-worthy—if you choose the best reporting method, that is (more on that later). CMS designed PQRS in an effort to improve the quality of data reporting …

  • Final Rule 2015: Here’s What You Need to Know Image

    articleNov 6, 2014

    Final Rule 2015: Here’s What You Need to Know

    The summary of this year’s Final Rule is hot off the presses, which means that—among other things—we now know the details regarding PQRS 2015. For those who have been following the PQRS saga since the program first came into being in 2007, it should come as no surprise that Medicare has yet again upped the ante for compliance. Based on the fact sheet CMS provided , here’s the scoop on this year’s reporting requirements: Eligible professionals who …

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