Harmony Healthcare Blog

Cyndi Ouellette

Recent Posts

QIO Directive on Discharge Documentation

Posted by Cyndi Ouellette on Tue, Aug 18, 2015

On August 3, 2015, Livanta LLC, the Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) responsible for reviewing all Medicare discharge appeals and quality of care concerns for beneficiaries in 17 states as well as Puerto Rico, the Virgin Islands and the Pacific Territories has released a request on the content of the discharge documentation being completed by providers. Going forward, Livanta is asking Physical Therapy providers to specifically address a patient’s ability to participate in a maintenance program at time of discharge.

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Sustainable Growth Rate Repeal: What it Means for SNFs

Posted by Cyndi Ouellette on Wed, Apr 08, 2015

On March 26, 2015, the House of Representatives passed legislation to fix the Medicare physician payment problem and to extend the Medicare therapy cap exceptions.  The Medicare Access and CHIP Reauthorization Act (H.R. 2) repeals the Sustainable Growth Rate (SGR) formula and significantly changes payment under Medicare Part B to pay for value over volume. Within this bill the House included a two-year extension of the therapy cap exceptions process.

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Topics: Medicare Part B, Sustainable Growth Rate, Doc Fix Bill

RAC Auditors Resume Nationwide – SNF Part B Claims at Risk

Posted by Cyndi Ouellette on Mon, Feb 09, 2015

CMS has recently issued a notice and FAQ to organizations of providers as a notification of their intent to resume the Medicare Part B Manual Medical Review process for those beneficiaries over the threshold of $3,700 for outpatient therapy per calendar year.  These reviews were placed on hold as of February 2014 but are set to resume immediately.  The four current Recovery Auditors (RACs) have been approved to resume sending ADRs as of January 16, 2015 for those claims that hit the threshold between March 1, 2014 and December 31, 2014.

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