Let's Help Each Other

Physical therapy is changing rapidly. As a PT with more than thirty years of experience, the changes observed in the last ten years triple those of the first twenty years. The pace of change is not slowing down. The Medigraph Blog will serve as a forum that will enable us to exchange ideas and assist each other. This blog will be used to share billing, documentation, and any other ideas to improve any aspects of our profession. If we share what we have learned, we can develop a resource that enables our collective understanding to advance our careers.

As profit margins grow smaller and expenses grow larger, we need to assist each other to survive and prosper. If we share our experiences we can help each other to grow professionally, administratively, and financially. Our professional lives, our livelihood, and our personal lives are intertwined. Our resources individually are limited. Together we can accomplish more than we can individually. Let's help each other


Tom Kane, PT
MediGraph Software

How Are RAC Audits and IRS Audits Similar?
6/7/2011 5:52:00 PM
Have you ever been the subject of an IRS Audit?  If you have, then you should do well in a RAC Audit.  RAC Audits and IRS Audits share many traits:
  1. Both audits are based upon clearly defined standards that are open to interpretation.
  2. Both audits are examples of government overreaching.
  3. Both audits have the goal of extracting money from you. 
  4. Both audits cause anxiety to those that are being audited.
There are other similar characteristics to RAC and IRS Audits, but the above examples are sufficient for our purposes.  Fortunately, preventing a RAC audit is much easier than preventing an IRS audit.  Preventing a RAC Audit is partially accomplished by providing the following:
  1. Using the disability/functional model instead of the impairment model to establish the medical necessity of intervention.
  2. Using pre-established functional measurements (outcome questionnaires and testing like the Tinneti, 6 minute walk, etc.) to measure functional deficits and record improvement.
  3. Proper coding of interventions.
If these three components are properly managed, the data mining that precedes a RAC auditors'' records request can be prevented.  Why?  RACs are only paid when they obtain a refund from you.  If you have satisfied the above requirements, the RACs prefer to move on and seek easier prey.  RACs are looking for the fast and easy money that can be obtained from those that violate the measures outlined above.  All the tools to prevent you from being the taget of a RAC Audit are contained in MediGraph?  Are you employing the software to protect yourself from the RAC predators?   If not, start today.  If I can be of assistance while your are transitioning to becoming RAC Medicare compliant, do not hesitate to contact me.
Best regards,
Tom Kane, PT
MediGraph Software