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Disclaimer

The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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Consultations 

Initial consultations are free.  If you would like to set-up a phone call, video chat, or email please email Zachary at zedgar@med-comply.com.

We offer one-on-one consultations on all issues related to physical, occupational, and speech therapy.  Your issue will be handled personally by Zachary Edgar JD, LLM, a licensed attorney, with over a decade of experience in healthcare compliance.  

We offer assistance with issues including but not limited to: 

General Compliance Questions

    • State PT/OT/SLP statutes and regulations
    • State rules on facilities, home health, and documentation
    • Medicaid: Outpatient therapy, pediatric programs, and home health
    • Medicare and Tricare compliance
    • HIPAA compliance
    • Private payer billing and coverage

New and Established Practices

    • LLC/PLLC formation
    • Assistance with location and lease negotiation
    • Credentialing and enrollment with private and public payers
    • HIPAA compliance and training
    • Policies and procedures for state and federal law
    • Billing and coding guidance and compliance
    • Ongoing assistance as needed

Medicare/Medicaid Audits and Appeals

    • Responding to Requests for Documentation
    • Assistance with targeted review audits
    • Appealing claims and PA denials for FFS and managed care

HIPAA

    • Custom policies and procedures required for HIPAA compliance
    • Training and education for owners and staff
    • Assistance with the initial and ongoing security reviews

Compliance Self-Audits

Therapy Comply performs PT/OT/SLP documentation and compliance audits that include:

    • Determining whether clinical documentation complies with Medicare and other applicable payer requirements
    • Assessing whether therapists are correctly coding treatments and capturing all appropriate charges
    • Determining whether therapists are in compliance with state PT, OT, and SLP practice acts
    • Assessing the need for additional clinical, documentation or other types of training to improve compliance and documentation efficiency



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