News
Success with Prior Authorization is in the details. - September 01 2014
What have we learned from the seven original Prior Authorization States that we can apply to the 12 new expansion States?
CMS wades in with 12 more states after testing the water with seven. - August 01 2014
At A Glance: Prior Authorization Demo Expansion, October 1, 2014
The future of face-to-face encounter documentation is now. - July 01 2014
My manager used to say "Come to me with a solution not a problem."
What does the face-to-face rule mean to doctors? - June 04 2014
The physician opens the prior authorization notification envelope following a face-to-face evaluation, scans the contents, and rolls his eyes while crumpling up the letter and throwing it in the garbage. “This is the kind of ridiculousness I have been talking about,” he says. “This patient has a primary diagnosis of C-4/C-5 complete quadriplegia and Medicare denied prior authorization because I forgot to rule out a cane and a walker. Who is making these decisions?”
Can OTs and PTs Document a PMD Face-to-Face Evaluation? - May 14 2014
An occupational therapist (OT) or a physical therapist (PT) can document a face-to-face evaluation for rehab power wheelchairs, and the practitioner must concur and sign.
Do clinical templates have a place with the new F2F rule? - May 05 2014
YES! The right electronic template provides a dynamic, time-efficient and cost effective solution to succeed at the highest level with the face-to-face (F2F) rule in effect since July 1, 2013.
What are EHRs doing to implement F2F? - April 23 2014
We frequently get asked if Electronic Health Records (EHRs) will ensure standardization and compliance for face-to-face documentation collection tools.
If a RAC comes hunting, could you withstand a 60 percent denial rate? - April 09 2014
As Elmer Fudd would say “Be vewwy, vewwy quiet...I'm hunting wabbits!” The Centers for Medicare & Medicaid Services (CMS) may not be hunting rabbits, but they’re hunting the very elusive greenbacks.
CMS requests approval to expand PA Demo to 12 additional states - April 07 2014
In an April 4 emergency federal register notice, the Centers for Medicare & Medicaid Services (CMS) details plans to expand its prior authorization program to 12 new states: Pennsylvania, Ohio, Louisiana, Missouri, Maryland, New Jersey, Indiana, Kentucky, Georgia, Tennessee, Washington and Arizona.
Does ADMC accept templates? - April 04 2014
The Centers for Medicare & Medicaid Services (CMS) has published in various regulations, pronouncements and other directives, the exact information they are looking to have addressed when a face-to-face encounter occurs.
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