They could re train these PCR folks to help weed through suspect agencies that not only have an extremely high re-cert rate but extremely high therapy utilization, agencies who have a majority of claims that have 1w9 for nursing, agencies whose majority ...
Dear members, The 85 th Legislative Session is slowly creeping to the finish line (Sine Die is May 29 th ). You can find how much time is left for the Legislature to pass a balanced budget (the only thing they are required to pass) at ...
And, Dan, therein is the big question. Why isn't CMS directing the MACs to narrow their scrutiny and focus on aberrancies from agency to agency? Why aren't all these darn statistical reports we have to dive into and explain used by CMS/MACs to focus---FOCUS---on ...
It would seem to me that they should target providers who are in the 90% or 80% percentile of recerts. Dan ------------------------------ Daniel Willson President Paradigm Home Care Tyler TX ------------------------------
Agreed! I read that yesterday and thought poor them! May God sustain the agencies in Illinois! Kerri Griffin ------Original Message------ I just read that these poor providers in Illinois are now going to be subject to pre-claim reviews by Palmetto ...
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