Latest Updates
G-day is getting close
July 1st is rapidly approaching and we are still waiting for a final Q&A from CMS. According to the APTA, CMS has notified them of a change in the original instructions via an e-mail on June 17, 2013 Panic stations alerts are still red for those of you that have not been submitting...Read More
An interesting slant on sequester
Whilst sequester cuts are hitting the therapy profession hard along with MPPR, this is an interesting take on how to cut spending without reducing any important services. Watch and listen to this suggestion....Read More
Surviving a Manual Medical Review
Why you should attend: It is highly likely that all of practitioners providing Part B therapy services will have some kind of medical record request this year. Whether it’s because the services exceeded the $3700 therapy cap threshold this year (RAC based MMR) or at the end of last year even though...Read More
Functional Reporting
Why you should attend: Functional reporting will become mandatory on July 1st 2013 and any provider submitting claims for services provided after that date will find that their claims are returned unpaid. Not just the claim for that date of the missing g-code but for all subsequent claims until the...Read More
Encompass’ Virtual Office
It’s vacation time for Encompass Consulting & Education, LLC. From May 25th to June 18, we are taking a break from our daily chores. We will however be maintaining a virtual office during that time and I can hear you saying “What’s a virtual office?” Well, our office will run...Read More
CMS publishes guidelines on how to use the ABN with therapy CAPs
Q1: How did the American Taxpayer Relief Act (ATRA) of 2012 (PL 112-240, January 3, 2013) affect liability provisions for services above the therapy cap? Q2: When are therapists required to issue the mandatory ABN for therapy services? Q3: When I provide services that aren’t medically reasonable and necessary and...Read More
MMR Audits for exceeding the $3700, how are they going?
We know that therapy providers are starting to hit the $3700 cap threshold and the ADRs are being sent out. We would like to solicit provider experience of this process. As this is the first time that the RAC contractors have had to deal with therapy services, we would like...Read More
