Managed Care Top 10

 

1. Do you have managed care contracts?
2. What contracts do you have?
3. Do contracts require specific authorization procedures?
4. What are the treatment plan requirements?
5. Are there quality assurance requirements?
6. Are there utilization review/mangement guidelines?
7. Are outcome measure used?
8. What process is required for extensions?
9. What is the appeals process?
10. What are the contract coding requirements?

 

 

quick links

10-6-2008: CMS Announces New Recovery Audit Contractors (RACs)

10-4-2008: OIG Releases New Rehab Fraud Case.

10-1-2008:  OIG Issues 2009 Work Plan:  Private practice therapy is identified.