by Gina Tomcsik | Monday, March 9, 2020 | Compliance
Physician Query: What is it? Physician queries have been used by Health Information Management (HIM) and Clinical Documentation Improvement (CDI) professionals in hospitals, but physician queries can be used in any setting. A physician query is a communication between...
by Gina Tomcsik | Monday, February 3, 2020 | Compliance
I am currently writing this blog while sitting on a plane, traveling for work and as I am in the air looking down on the clouds, I realize that my entire afternoon highlighted the modes in which I functioned thus far in my journey. Let’s take a look: Drove my truck to...
by Gina Tomcsik | Thursday, January 2, 2020 | Compliance
MC Hammer’s song title, “U Can’t Touch This” comes to mind when I think about ill-doers wanting to steal data and demanding us to pay in order to retrieve and access our own data files! Cybersecurity and Infrastructure Security Agency (CISA) defines Ransomware, “as a...
by Melissa Ward | Monday, December 9, 2019 | Clinical, Compliance, PDPM, Regulatory
Now that the dust is starting to settle post October 1st Patient-Driven Payment Model transition, it is time take heed to provisions in the 2020 Physician’s Fee Schedule (PFS) final rule released in November. There are items of high importance to therapy professionals...
by Gina Tomcsik | Monday, December 2, 2019 | Clinical, Compliance, PDPM
CMS issued their updated their guidance to Medicare Administrator Contractors (MACs) on November 15, 2019 regarding Medical Review Instructions related to Skilled Nursing Facilities in Publication 100-08 Medicare Program Integrity, Transmittal 924. The effective date...
by Gina Tomcsik | Friday, November 1, 2019 | Compliance, Regulatory
In October 2016, the Centers for Medicare and Medicaid Services (CMS) published a final rule revising for Medicare and Medicaid requirements of participation (RoP) for nursing facilities. In the July 18, 2019 Federal Register, CMS proposed the rule that will reform...
