tci Part B Insider - 2008 Issue 2

COMPLIANCE: Therapists--Forget Your John Hancock and You Could Be Out Thousands

Recent OIG audit shows that one therapist's mistakes will cost him over $280,000You-ve met with the patient, performed the therapy, and billed the services to Medicare using the correct CPT codes, so your reimbursement is all set, right? Wrong. Without accurate documentation, a current plan of care and a signed note, your reimbursement odds go out the window.The OIG recently announced the outcome of its audit of a Texas physical therapist (PT), and the results were not good. Of the 100 claims that the OIG sampled, not a single one met Medicare's reimbursement requirements, causing Medicare to...

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