GENCO HEALTHCARE​ MANAGEMENT MEDICARE COMPLIANCE, AUDITS, MEDICAL BILLING

The International Classification of Diseases, “ICD Codes” were originally developed to track how people died. In 1948, just after the creation of the World Health Organization, a committee was put together to establish one version to represent all countries. Subsequently ICD codes were used to track diseases and injuries and to find patterns that might show an epidemic could be coming, as well as to track the general health of people. Today ICD codes are not only used for thi

In this third in our series of Blogs asking the question “Is your practice ready for a Medicare audit?” we continue our discussion of the critical importance of the PT/OT Evaluation. Medicare assigns significant weight to the patient information gathered and presented by the therapist during The Initial Evaluation. The initial evaluation records objective measurable data of the patient’s impairments to establish the baseline for assessing expected rehabilitation potential, se

In this second in our series of Blogs asking the question “Is your practice ready for a Medicare audit?” we discuss the critical importance of the PT/OT Evaluation. Without question, The Initial Evaluation is your first and best tool in establishing and documenting the medical necessity for skilled therapy services. It is your opportunity to paint a picture of the patients’ medical, physical, psychological, social and living conditions and how their current functional impair

It is each Medicare provider’s responsibility to read and fully understand the rules and regulations that have been established for their specialty in Local Coverage Determination (LCD’s) and other official communications. In the event of an audit or other review of your claims, it is prudent for a practice owner to expect that Medicare’s auditors will follow these policies to the letter; in every case. The old adage “If you did not write it, you did not do it” clearly appl