There’s nothing scarier than a Medicare audit. But if you avoid these compliance mishaps, you can keep yourself—and your practice—out of the line of fire.
CMS has satisfied the settlement terms of Jimmo v. Sebelius. That’s good news for rehab therapists, but there’s one potential caveat.
Colllecting coinsurance, copays, and deductibles upfront is an important piece of the effort to accurately value the services we provide. And yet, we still hear about practices that routinely waive their patients’ deductibles and copays. Today, I’ll discuss another reason not to routinely waive deductibles and copays.
No private practice owner should approach payer contract negotiations haphazardly—or worse, not understand specific terms before signing on the dotted line. And for good reason: Continued claim denials and decreasing reimbursements make it tough for many rehab therapy practice owners to get the most out of their private payer contracts.
Not adhering to Medicare’s certification requirements can land you in hot water. Is your clinic compliant?
Navigating Medicare’s payment rules can be tricky, especially if you run a cash-based clinic. That’s why you should know these rules to collect full payment from your patients.
“How can I avoid being audited by Medicare?” This is one of the compliance questions I hear most frequently, and the honest answer is, quite simply, that you can’t. Just because CMS or one of its auditing entities hasn’t come knocking on your door doesn’t mean you’re not being audited.
Compliance expert Tom Ambury discusses the legalities of financial incentives for clinical performance within a physical therapy practice.
Some of you might remember all of the hype around Y2K. Rumors and speculation were abuzz, and there were people who thought all hell was going to break loose when the clock struck midnight on January 1, 2000. And then—dun, dun, dun—nothing happened.