Compliance: Tighten Up Your Independent Therapy, Large Part B Payments in 2012

Why This Topic Matters

Therapy practices that bill Medicare need to understand which operational areas may draw audit attention and how documentation and diagnosis support affect claim defensibility. This topic is especially relevant for independent therapy providers and organizations managing higher-than-average Part B reimbursement patterns.

Article Sections

1. Independent Therapists, Beware

   This section addresses a therapy service area identified for scrutiny under the OIG Work Plan. It focuses on broad compliance themes related to medical necessity and documentation support for Medicare claims.

2. Big Bills Might Get Attention

   This section discusses another Work Plan focus involving unusually high cumulative Part B payments. It explains the general compliance and record-retention concerns associated with higher reimbursement patterns.