Therapy: Follow 6 Steps To Survive The Return Of Therapy MMRs

Why This Topic Matters

Providers affected by Medicare therapy review activity need to know what operational areas may be impacted so they can organize records, assign responsibilities, and respond within required timeframes. The article is relevant to facilities that manage therapy claims and compliance workflows.

Article Sections

1. Facilities: CMS is Picking on You

   Introduces the resumption of Medicare therapy review activity and identifies the provider settings and review types involved at a general level.

2. 1. Keep an Eye Out for Mailings

   Covers internal communication awareness, routing of review notices, and who should be alerted when documentation requests arrive.

3. 2. Designate the Responsible Parties

   Discusses assigning staff roles for review, record gathering, response preparation, submission, and follow-up tracking.

4. 3. Identify the Therapy Claims

   Addresses the need to identify potentially affected therapy claims and understand the general review order used by contractors.

5. 4. Don’t Overlook Older Claims

   Notes that review requests may involve claims outside the most obvious date window and emphasizes checking payment timing and claim inclusion.

6. 5. Review the Documentation List

   Summarizes the categories of records and supporting materials that should be assembled for review response.

7. 6. Meet the Deadline — Or Pay the Price

   Explains the importance of timely submission and the consequences of missing the response deadline.