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Responding to Targeted Medical Review

Jul 1, 2017/Column

CMS is reviewing some therapy claims that exceed the $3,700 Medicare Part B threshold. Here's what to know, and what to do, if you are contacted

Final 2025 MA Rule Includes More Prior Authorization Scrutiny

May 8, 2024/News

Medicare Advantage plans will be required to analyze prior authorization requirements' impact on health equity.

Functional Gait Assessment (FGA)

Jun 10, 2019/Test & Measure

FGA is a modification of the Dynamic Gait Index and was created to help decrease the ceiling effect and improve reliability.

Clinical Test of Sensory Interaction and Balance (CTSIB)

Aug 31, 2017/Test & Measure

Measures the influence of visual, vestibular, and somatosensory input on standing balance.

Quality of Life in Alzheimer Disease: QOL-AD

Jun 29, 2017/Test & Measure

A 13-item questionnaire designed to provide both a patient and a caregiver report of the quality of life (QOL) for patients who have been diagnosed with Alzheimer Disease (AD).

The Keys to Effective Documentation

Aug 1, 2016/Column

Be thorough and try to think like a payer.

Epic Lift Capacity Test (ELC)

Jun 16, 2022/Test & Measure

The EPIC Lift Capacity test (ELC) is used to evaluate lifting capacity through different vertical ranges necessary to carry out the occupational demands required for lifting on an occasional or frequent basis.

Total Hip Arthroplasty (THA)

Jun 13, 2016/Clinical Summary

THA to improve hip joint stability, mobility, locomotion, and quality of life is considered one of the most successful surgical procedures.

Final 2022 Home Health Rule: No Big PDGM Changes, But a Surprise Payment Boost

Nov 5, 2021/Review

CMS stuck to most of what it proposed in June but opened the possibility for a 2.6% payment increase for qualifying HHAs.