Eli's Rehab Report
Appeals:
Medicare Makes Slight Tweaks to Appeals Policy
Published on Thu Feb 28, 2008 
PDF
PDF
If you plan to take an appeal to the Administrative Law Judge or judicial review level, double-check the dollar amount you're appealing. Starting Jan. 1, 2008, the minimum dollar amount in controversy for you to appeal to the Administrative Law Judge will be $120. (The amount was previously $100.) In addition, the minimum amount in controversy for you to appeal at the judicial review level will be $1,180. (The amount was previously $1,000.) For more information, see the Federal Register text at http://a257.g.akamaitech.net/7/257/2422/01jan20071800/edocket.access.gpo.gov/2007/pdf/07-6198.pdf.
Other Articles in this issue of
Eli's Rehab Report
- Reimbursement:
Rehab Providers Get Holiday Wish With Last-Minute 2008 Policy Changes
The catch: You'll still need another fix mid-yearIf you were holding your breath for a [...] - Coding Corner:
Get Ready to Report Online and Phone Time With Patients
CPT 2008 releases telephone and online codes -- and rehab providers can bill them It [...] - Clip and Save:
Handy At-a-Glance Guide to CPT Coding Updates
Highlight these new codes in your 2008 CPT book - Compliance:
Sharpen Your Stark Law Knowledge, Part 1
Navigate part III of the Stark saga with these expert tips If anything in the [...] - Home Health:
Tighten Your Therapy Documentation Under PPS Refinements
See how a 5-visit denial in the new PPS can cost you $1,116 One sloppy [...] - News Briefs:
PMDs: Therapists Win Victory in Power-Wheelchair Arena
For a couple of years now, a sticky provision has existed in all durable medical [...] - Billing:
Your Medicare Payer May Want an ABN for Acupuncture Services
If you offer acupuncture services in your clinic and treat Medicare patients, take note. Empire [...] - Research:
Don't Brush Off Cognitive Training Too Soon
Occupational therapists and speech-language pathologists may be interested in a new study that shows seniors [...] - Appeals:
Medicare Makes Slight Tweaks to Appeals Policy
If you plan to take an appeal to the Administrative Law Judge or judicial review [...] - Reader Questions:
Play It Safe With Assistants and New Team Conference Codes
Question: In the last issue of Physical Medicine & Rehab Coding Alert, I read about [...] - Reader Questions:
Watch What You Say on the Telephone
Question: I'm happy to see that we have new codes for telephone and online services [...]
View All