For More Information

Contact our rehabilitation provider specialist.

Catherine Gill
Director
816-443-0014
CGill@lw-consult.com

The Centers for Medicare and Medicaid Services (CMS)’ mandates the documentation required for outpatient rehabilitation providers to comply with medical necessity criteria. With increased audit activity on the part of the MACs, CMS Audit Contractors, ZPICs and the OIG, providers must be assured that their documentation fully meets the conditions of payment and that their coding and billing is accurate and fully supported by their documentation. Providers must know the ‘truth’ of what billing is supported in the medical records. In addition, data analysis has provided CMS the opportunity to question whether Medicare therapy is provided to one patient at a time. Our experts understand the difference between Conditions of Participation and Conditions of Payments. Our audit procedures are tailored to the type of review required. Our solutions to help you survive in this heightened compliance environment include:

  • Claim Denial Management And Recovery
  • Coding And Billing Audits
  • Overpayment Extrapolation
  • Therapist Education
  • Merger and Acquisition Support
  • Scheduling Analysis
  • Productivity Enhancement

For More Information

Contact our rehabilitation provider specialist.

Catherine Gill
Director
816-443-0014
CGill@lw-consult.com

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