P03: Hey, Therapy Provider! The Government and Private Insurers Have Therapy in Focus—Do You?


Shawn Halcsik, Corporate Compliance Officer, Encore Rehabilitation

Nancy Beckley, President, Nancy Beckley & Associates LLC

  • Therapy focus explained: JIMMO, Probes, Targeted Medical Reviews, Supplemental Reviews, OIG reports and findings, Investigations, Therapy Related Civil Monetary Penalties
  • Understand and implement the who, what, how and why of auditing therapy Conditions for Coverage, Conditions of Participation, and Conditions of Payment
  • Take away an audit tool to ensure your focus on compliance with therapy technical and medical necessity requirements for restorative and maintenance therapy (JIMMO)

Presentation & handouts

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