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Winds of Change Coming - Will Your Business Soar or be Blown Off Course?
February 25, 2016
NARA Spring Conference 2016 May 4 - 6, 2016 Renaissance Washington DC Hotel - Dupont Circle Major changes are in store for the health care sector which will have a profound effect on providers and their patients. The elections in November will bring a new President, determine which party will control the House and Senate, and usher in new leadership for regulatory agencies such as HHS and CMS. Federal agencies will take significant steps to implement new payment methodologies to replace the physician... Read More
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NARA Announces Agenda For Fall Conference 2015
July 20, 2015
Categories: News
Are you All In as a Rehab Provider? Are you looking for the most current information which will aid in your business operations? Then you need to attend the NARA Fall Conference: All In! Strategies for Rehab Providers in Tomorrow's Reality October 14 - 16, 2015 in Las Vegas, NV at the Westin Las Vegas. Today's changes to healthcare will be here before you know it and NARA has prepared an agenda full of topics and speakers who will prepare you to face the reality of those changes tomorrow! ... Read More
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Senate Passes Permanent SGR Fix; Therapy Caps Exceptions Process Extended Two Years
April 16, 2015
Categories: News
On April 14th, by a vote of 92-8, the Senate passed H.R. 2, the Medicare Access and CHIP Reauthorization Act, which had passed the House over two weeks ago by a wide margin. Eight Republicans voted against the bill: Senators Cruz, Lee, Perdue, Rubio, Sasse, Scott, Sessions, and Shelby. Six amendments were offered to the bill and all were defeated, including Sen. Cardin’s amendment to repeal the outpatient therapy caps. The bill will now be sent to the President who has already stated that he will... Read More
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Functional Code Reporting Update from CMS
June 18, 2013
Categories: News
June 18, 2013 - CMS has provided the following update based on the June 4th Open Door Forum statement that "on July 1st funcational reporting will start which requests doing initial evals, goals & status. The July 1st treatment has to be treated as the initial eval, even if [provider] have been treating the patient. [CMS] realizes it is 'a little bit of a burden' but feel it is necessary." CMS had previously indicated that therapists must report functional information on the first... Read More
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Federal Register -- HIPAA Modifications; Final Rule
January 29, 2013
Categories: News
Click here for the recently posted HIPAA Modifications.
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CMS Announces Educational Call for Providers on Functional Testing Requirement ~ 12/12/2012
December 3, 2012
Categories: News
CMS Announces Educational Call for Providers on Functional Testing Requirement
December 12, 2012 1:30 - 3:00pm EST
This presentation will cover the new functional reporting requirements for outpatient therapy services, including physical therapy (PT), occupational therapy (OT), and speech language pathology (SLP) services, effective January 1, 2013. Participants will learn how to report patient functional limitation information on claims... Read More -
CMS Has Posted Audio & Transcript from 10/22/12 MMR of Therapy Claims Special ODF
December 3, 2012
Categories: News
The transcript and audio file for the October 22, 2012 Manual Medical Review of Therapy Claims Special Open Door Forum is available on the Special Open Door Forum web page: http://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/ODFSpecialODF.html . Thank you for your continued interest in the CMS Open Door Forums. http://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/ODFSpecialODF.html Read More
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CMS Special Open Door Forum Summary - September 5, 2012
September 8, 2012
Categories: News
CMS Special Open Door Forum Summary Manual Medical Review Process for Part B Therapy Claims Effective October 1, 2012
On September 5, 2012, CMS conducted a special open door forum regarding the Manual Medical Review Process for Part B Therapy Claims which is effective on October 1, 2012. There was not a lot new information provided to listeners; however, they did review a PowerPoint presentation which is used by contracts... Read More -
MAC CGS Medicare has Posted Their Pre-Approval Process for the Manual Medical Review
September 8, 2012
Categories: News
Effective October 1, 2012, CMS will implement a phased Therapy Cap Exception (TCE) process. The implementation schedule is provided below. During this period, the 2012 therapy cap amounts will be $1880 for occupational therapy services and $1880 for the combined services for physical therapy and speech-language pathology. All requests for therapy services above $3,700 which are provided by a speech language therapist, physical therapist, or physician shall be approved or disapproved in advance. Settings... Read More
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CMS Special Open Door Forum: Manual Medical Review of Therapy Claims 9/5/12
September 4, 2012
Categories: News
Centers for Medicare & Medicaid Services Special Open Door Forum: Manual Medical Review of Therapy Claims Wednesday, September 5, 2012 2:00pm – 3:30pm Eastern Time Conference Call Only
The purpose of this Special Open Door Forum (ODF) is to provide an opportunity for providers to ask questions about the mandated manual medical review of therapy services from October 1-December 31, 2012 that was enacted... Read More