INTRODUCTION

There is little argument that the Centers for Medicare & Medicaid Services (CMS) are justified in seeking to ensure that the long-term and post-acute care services they pay for are appropriate and meet federal standards. And from a purely budgetary standpoint, it makes perfect sense to put checks and balances in place to make sure the dollars are spent where they should be.

Between the Medicare Recovery Audit Contractors (RAC) program and the Office of Inspector General (OIG), the use of physical, occupational, and speech therapies are under constant scrutiny when it comes to overbillings, overpayments and, to a lesser extent, even underpayments.

In this white paper, we will take a look at therapies within the context of what providers need to do to be in compliance with CMS standards and what they can do now to prepare for potential audits.

Read more about how to prepare for and respond to therapy audits.