New 1500 Claim Form Released

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UPDATED March, 2015: Form Version 02/12 will replace the current CMS 1500 claim form, 08/05, effective with claims received on and after April 1, 2014: Medicare will begin accepting claims on the revised form, 02/12, on January 6, 2014; Medicare will continue to accept claims on the old form, 08/05, through March 31, 2014; On […]

Teresa Downie, RN, BSN, CCDS, CLNC

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Teresa Downie has greater than 39 years of experience in the healthcare field, both in inpatient and outpatient settings and as a medical auditor for post-pay reviewers. As a Registered Nurse, a Certified Clinical Documentation Specialist and a Certified Legal Nurse Consultant, she works with patients, physicians, healthcare facilities, attorneys, insurance companies, and utilization review […]

IRF Nursing Documentation: Are You Writing a Best Seller?

Patty Camloh

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Patty Camloh, RN, CRRN, CCM, is a Consultant for GPS Healthcare Consultants. She has been working in the healthcare environment for over 40 years and brings over 32 years of experience in rehabilitation and case management. Ms. Camloh is a graduate of St. Vincent Hospital School of Nursing/Mary Manse College. As a registered nurse (RN), […]

Susan Keeker

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Susan Keeker, TRS, is a Consultant for GPS Healthcare Consultants. Ms. Keeker has more than 30 years experience in inpatient acute rehabilitation. After earning a Bachelor’s Degree in Therapeutic Recreation from Indiana University, she began her career in the area of pediatric rehabilitation and worked at Children’s Hospital of New Orleans for two years. Adult rehabilitation […]

IRF Solid Footing: Competing with SNF

CPT® Errata 2015

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CPT© Coding Update for CY15

OPPS Proposed Rule 2015

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This proposed rule would revise the Medicare hospital outpatient prospective payment system and the Medicare ambulatory surgical center payment system for CY 2015 to implement applicable statutory requirements and changes arising from continued experience with these systems.  In this proposed rule is describe the proposed changes to the amounts and factors used to determine the payment […]