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

Regards,

Tom Kane, PT
MediGraph Software

RACs, MACs, and Demand Letters Rules Changes
8/10/2011 11:48:00 AM
Beginning January 1, 2012, Recovery Audit Contractors (RACs) that identify ''overpayment'' will be submitting their demand letters through Medicare Administrative Contractors (MACs).  MACs will be responsible for administrating  the refund from targeted medical providers, and  CMS will require MACs to establish time frames for the refund of your fees.  To complicate matters and make it more difficult to appeal an audit,  MACs will also manage the appeal process.  The RACs will remain responsible for audit specific communications, including questions regarding a reviver''s rationale for demanding a refund. 
 
The August 4, 2011 Provider Compliance Newsletter released by CMS once again revealed that the main vehicle for RAC refund requests are based upon the medical provider''s failure to prove that treatment was  "Medically Necessary"  There are many examples presented on this blog that provide guidance for PT in this matter.  Please review them, implement them,  and prevent your facility from becoming a RAC victim.   As always Dave Naples (ext. 211) and I are availble to discuss this matter with you.    
 
Regards,                                 
Tom Kane, PT
800-804-6334 ext. 210