"Physical therapy is not a subspecialty of the medical profession and physical therapists are not medical doctors; we are a separate profession that provides a unique service that physicians are unable and untrained to provide."

Letter to the AMA from the APTA, Dec 2009

Thursday, August 21, 2008

Medicare Messed Up

Physical therapists should pay attention to this new Office of the Inspector General (OIG) Report that claims the Centers for Medicare and Medicaid Services (CMS) under reported fraud in durable medical equipment (DME).
"The report found that in fiscal year 2006, CMS failed to detect that more than one-third of spending on DME was fraudulent."
More than one blog picked up the story from the New York Times today based on a draft report obtained by the Times.

The full report should be out this week or next.

Medicare fraud was under reported by CMs when they claimed the false claims error rate for DME was 7.5% for 2006 when actually, according to the OIG, the true error rate was 31.5%.

“This is outrageous,” said Senator Charles E. Grassley of Iowa, the top-ranking Republican on the Senate Finance Committee, who has repeatedly credited the Centers for Medicare and Medicaid Services with reducing improper expenditures. “If heads don’t roll, you can’t change the culture of this organization,” he added." (source - NYT)

Honest, hardworking physical therapists may now have to put up with increasingly burdensome audit and regulatory measures.

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Tim Richardson, PT owns a private practice at Medical Arts Rehabilitation, Inc in Palmetto, Florida. The clinic website is at MedicalArtsRehab.com.

Bulletproof Expert Systems: Clinical Decision Support for Physical Therapists in the Outpatient Setting is a manager's workbook with stories, checklists, charts, graphs, tables, and templates describing how you can use paper-based or computerized tools to improve your clinic's Medicare compliance, process adherence and patient outcomes.

Tim has implemented a computerized Clinical Decision Support (CDS) system in his clinic since 2006 that serves as a Reminder, Alerting, Prompting and Predicting CDS using evidence-based tests and measures.

Tim can be reached at
TimRichPT@BulletproofPT.com .

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Consistent with the American Physical Therapy Association Vision Statement for Physical Therapy 2020, the American Physical Therapy Association supports exclusive physical therapist ownership and operation of physical therapy services.