Worried about compliance? Since ReDoc® powered by xfit® is perfectly fitted for rehab therapy, we don’t just generically monitor regulatory changes. Instead, we watch with a keen eye towards anything that affects your medical record and coding needs. Learn about the regulatory changes that Net Health stays ahead of to help keep clients in the know and support compliance requirements.
Functional Limitation Reporting
This Medicare requirement was implemented to collect data on patients’ functional limitations in order to better understand their conditions, outcomes, and expenditures. ReDoc provides guidance tools that facilitate appropriate reporting of functional G-codes along with severity/complexity modifiers which are supported within the clinical documentation of the medical record.
Accurate ICD-10-CM code selection by therapists is required to meet medical necessity and carrier policy requirements, which are necessary for reimbursement.
Not only do we keep up with the latest ICD standards, including updating the code changes each October, ReDoc powered by xfit also has a tool to assist you in making coding selections. Through a partnership with VitalWareTM, ReDoc incorporates the selection tool iDocuMintTM powered by ICD SherpaTM that uses keywords and concepts to guide the user in selecting the most appropriate diagnosis code. After the ICD-10-CM code is selected, Vitalware provides documentation considerations to justify selection of the diagnosis code.
Monitoring of Final Rules/Laws (Federal Register)
Keeping track of additional programs like Outpatient Prospective Payment System (OPPS) and Medicare Physician Fee Schedule (MPFS) Rules can feel overwhelming when you are also trying to treat patients and run an efficient clinic. We’ve got you in mind. Our Product Compliance Team works tirelessly to monitor these programs and provide updates to ReDoc powered by xfit to help support your clinic’s compliance with existing and ever-changing regulatory requirements that affect your EMR.
Medicare Therapy Cap
After two decades, a permanent end to the Medicare Therapy Cap was signed into law on February 9, 2018. Although this is great news, Medicare maintains that therapists are still required to apply the KX modifier for specified annual Medicare amounts each year. ReDoc provides tools to monitor these amounts in order to address the KX modifier when necessary.
ReDoc supports the NCCI Edits that are applicable to modifier 59 with prompt notifications to help you avoid potential denials.
The Joint Commission
The Joint Commission standards “focus on important patient, individual, or resident care and organization functions that are essential to providing safe, high quality care.”1 We understand that complying with The Joint Commission Standards is important to our clients. That’s why ReDoc provides the tools and necessary documentation elements to comply with the requirements set forth by The Joint Commission.
MACRA and MIPS
The Merit-based Incentive Payment System (MIPS) is one of the two tracks offered under the Quality Payment Program for Medicare. Therapists are currently not required to participate and the 2018 QPP rule has increased the eligibility threshold for other disciplines to include only those with more than $90,000 Medicare Part B charges and more than 200 Medicare Part B patients. Once a final rule is published outlining participation for therapists, we will provide further communications on how we will support ReDoc powered by xfit users.
Interested in learning more about ReDoc powered by xfit and compliance? Click here to contact Net Health.
1 Facts about Joint Commission standards. (2016, March 25). Retrieved January 24, 2017, from www.jointcommission.org/facts_about_joint_commission_accreditation_standards/