7 Signs Your Ambulatory Surgery Center Needs an EHR Upgrade

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7 Signs Your Ambulatory Surgery Center Needs an EHR Upgrade An electronic health record (EHR) system should help an ambulatory surgery center (ASC) manage patient information, coordinate surgical workflows, support documentation, and maintain accurate billing records. But as a center grows, its existing system may struggle to keep up. A system that once worked well may now create extra administrative work, slow down patient scheduling, limit access to important information, or make it harder to capture all billable services. These problems can affect more than daily operations. They can also influence revenue cycle performance, reporting accuracy, and the patient experience. Upgrading an EHR is a significant decision. However, continuing to use a system that no longer meets the center's needs can create ongoing operational and financial challenges. Here are seven signs that your ambulatory surgery center may need an EHR upgrade. 1. Your Staff Still Relies on Manual Data Entry One o...
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Common Outpatient Rehabilitation Therapy CERT Errors

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commonoutpatientrehabilitationtherapycerterrors.jpg

Billing Part B Outpatient Therapy Services

Outpatient rehabilitation therapy includes Physical Therapy (PT), Occupational Therapy (OT), and Speech-Language Pathology (SLP) services. Medicare covers outpatient PT, OT, and SLP services when:

  • A physician or Non-Physician Practitioner (NPP) certifies the “treatment plan,” called the Plan of Care (POC), ensuring:
    • A patient needs therapy services 
    • POC is: 
      • Established by a physician, NPP, our qualified therapist provides services 
      • Reviewed periodically by a physician or NPP 
    • A patient gets services under physician care 
  • POC certifying the provider’s name and NPI is on the claim 
  • Providers meet medical necessity, documentation, and coding requirements

where, 

  • CERT: Comprehensive Error Rate Testing
  • A physician is a Doctor of Medicine, osteopathy, podiatric medicine, and optometry (only for low vision rehabilitation). 
  • NPP includes a Physician Assistant (PA), Clinical Nurse Specialist (CNS), or Nurse Practitioner (NP). 
  • A qualified Therapist includes a PT, OT, or SLP who meets regulatory qualifications as applicable, including state licensure or certification.

Common Outpatient Rehabilitation Therapy CERT Errors

  • Missing certification and recertification(s): Physician’s, NPP’s, or therapist’s dated signature(s) approving the POC. Prevention: Confirm physician or NPP certified the POC (and recertified it when appropriate) with their signature and date.
  • Missing signature: Physician, NPP, or therapist who developed the POC and established treatment plan date. Prevention: Ensure you add your dated signature and professional identification (for example, PT, OT).

To learn more about Common Outpatient Rehabilitation Therapy CERT Errors, click here: https://bit.ly/3qSdiEY Contact us at info@medicalbillersandcoders.com/ 888-357-3226.

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