February 2003  www.theracareinc.com

February
17 President's Day
March
17 St. Patrick's Day
Welcome to the first newsletter!  Welcome to the first edition of Theracare’s quarterly newsletter! We are thrilled to bring to you articles, news and information regarding the constantly changing world of rehabilitation.

Allow me to introduce myself...  Maybe we have had the pleasure of getting to know you through a working relationship, by meeting at a trade show or by serving together on a committee. If we haven’t, please allow me to introduce you to Theracare.

CMS isues guidelines on the use of electrical stimulation  In Program Memorandum AB-02-161 published in November of 2002, CMS specified changes to coverage and billing guidelines for Electrical Stimulation. 

Medicare appeals process clarified  Section 521 of the Benefits Improvement and Protection Act of 2000 (BIPA) amended Section 1869 of the Social Security Act to revise the Medicare administrative appeals process. 

The discussion surrounding group therapy codes continue  A wave of confusion went through the Rehabilitation industry when CMS issued a clarification to the use of the CPT Code 97150, Group Therapy. Since then, CMS has worked to help clear the confusion by holding a Group Therapy Services Conference call on September 13 and by publishing Q&As related to this issue on the CMS website.

Does your rehabilitation department meet safety standards?
All electrical, pneumatic, and mechanical equipment in your facility, including the equipment in your rehabilitation department, should be checked on a regular basis to ensure proper function capabilities.

Marketing your rehab program  There are a variety of ways in which Theracare can help you to market your rehab program.

Every dollar counts...  At the risk of stating the obvious, it is critical that every long term care facility capture every dollar of revenue that rightfully comes your way.

Avoid common ADR pitfalls  Read these tips and avoid the common problems others have.

 


Thomas Healthcare Consulting, P.C., provides expertise in the financial, reimbursement, clinical and operational issues encountered by providers in the long-term care and senior housing professions.

Reimbursement Consulting:

  • Medicare & Medicaid reimbursement & cost report preparation
  • Medicare & Medicaid audit representation
  • Medicare PPS services
  • Medicaid case-mix & MDS consulting
  • Profit enhancement
  • Ancillary contract negotiations
  • Corporate compliance
  • Operational accounting & board consultation
  • Indiana Medicaid software

MDS & Clinical Consulting:

  • Quarterly case-mix reviews
  • MDS & data-collection technology evaluations
  • MDS Compliance
  • MDS related policies & procedures
  • MDS accuracy and coding errors
  • MDS & RUG III classification
  • MDS training & education seminars

Robert A. Thomas, CPA
Andrea S. Platt, RN
Thomas Healthcare Consulting, P.C.
Certified Public Accountants & Healthcare Consultants
11988 Fishers Crossing Drive, Suite 200
Fishers, Indiana 46038-2702
Main: 317.577.0101
Fax: 317.577.3389
www.thomashc.com


 

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