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A Medley of Frequently Asked Compliance Questions

by Mary Daulong PT, CHC, CHP | Oct 8, 2021 | Outpatient Therapy Compliance, Physical Therapy HR

 By Mary R. Daulong, PT, CHC, CHP Question: Re-evaluation Documentation Where do I locate the required content of the Re-evaluation CPT code 97164? Answer: There are two references you should use to assist you in your re-evaluation documentation and rationale for...

Congress Passes the Suspension of the Sequester Cut Through 2021

by David Harris | Apr 15, 2021 | Outpatient Therapy Compliance, Uncategorized

Per the APTA’s News Release on April 14, 2021: Congress Passes the Suspension of the Sequester Cut Through 2021.  The U.S. House of Representatives overwhelmingly approved the relief, which is expected to be signed into law by President Biden in the coming days....

The Administrative Burden and Mental Stress of Audits

by Mary Daulong PT, CHC, CHP | Feb 9, 2021 | Outpatient Therapy Compliance

The adage, “If momma ain’t happy, ain’t nobody happy,” is a very transferable truism and certainly can apply to working with health care auditors. Just imagine if your job were to review clinical and billing records all day long, five days a week. Can you envision the...

Frequently Asked Questions re: The Supervision of Physical Therapists and Occupational Therapy Assistants

by David Harris | Jan 18, 2021 | Outpatient Therapy Compliance, Physical Therapy HR

Question: Does the telecommunication waiver for off-site (virtual) supervision of assistants apply to physical and occupational therapy private practices? Answer: Yes, virtual supervision of PTAs and OTAs absolutely applies to both physical and occupational therapy...

Medicare Claims Filing with the 3% Reduction

by David Harris | Jan 6, 2021 | Outpatient Therapy Compliance

We cannot be certain, nor have we been promised, that Medicare Administrative Contractors will have the COVID-19 Relief Package with the new Physician Fee Schedule changes for therapy providers (~9% reduced to 3.6%) loaded in their systems to properly adjudicate...

Compliance with SBA Loans and Federal Funding – Are you at Risk?

by Alicia Mahoney, President | Oct 20, 2020 | Outpatient Therapy Compliance

There were a number of declarations at the end of each of the SBA loan applications that deal with compliance with various federal law such as civil rights laws, OSHA, HIPAA, etc.. Are you at risk for an Audit because you received an SBA loan or Federal Funds? When...
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Recent Posts

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  • Release of Records to an Attorney: Record Release Series (1 of 4)
  • Non-enrolled Therapist Supervision Under Medicare and Sign-offs Explained
  • Are You Running Your Private Practice Naked?
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