How to Improve Clinical Documentation Using ChartVerify®

Has your organization noticed an increase in documentation requests from insurance payers? If so, you’re not alone—and if not, you most likely will. As the health care industry continues to shift from payment based models to value-based care, one thing is certain, providers are considering how to handle the increased administrative burden to stay in compliance with the changes. These changes have many therapy providers considering their options, including preparing their practices for possible sale…

Inpatient Rehabilitation Review Choice Demonstration Project: Cycle 1 Progress in Pennsylvania

The content of this blog is primarily for those who are Inpatient Rehabilitation Facilities (IRF) or Inpatient Rehabilitation Units (IRU), however, the overarching theme is a good reminder for all healthcare providers. The takeaway is this: Whatever the MAC says goes! Regardless of your interpretation of the Centers for Medicare and Medicaid (CMS) regulations printed in the Medicare Benefit Policy Manual (MBPM), or wording in old transmittals, if the Medicare Administrative Contractor (MAC) has a…

Insights from the OIG Work Plan

The Office of Inspector General (OIG) continues to place focus on “Substance Abuse Disorder” and “Mental Health” with their continuation of work plan items that are all expected to be completed this year or in 2025. These work plan items provide opportunities for attorneys to have discussions with their clients on the steps the clients can take in preparation for the items the OIG is working on. This whitepaper provides additional information on each of…