[DYSPHAGIA] DPNS this weekend

[speech@jps.net (speech@jps.net)]

Marge, thank you for your concern and a reminder to all.  I document
precisely and accurately what I do and my patient's response to it.  I
rarely get reviewed, and when I have, it has been approved in all but one
case so far.  My point was, however, that swallowing therapy is billed under
92526, so calling dpns something else for billing purposes is really a
non-issue in my opinion.
rose

>Rose
>I am concerned about your statement that "Documentation may or may
>not ever be reviewed.  As long as a treatment is coded properly, there
>should be no problem." My concerns are both at a professional and legal 
>level. Your documentation should reflect an effective care plan accurately. 
>Please be aware the HCFA has targeted therapies for fraud. More and more 
>facilities are finding themselves on 100% Medicare review and HCFA does not 
>recognize billing errors as anything but fraud. The billing is supported by 
>your documentation. I recently attended a conference on Medicare 
>documentation for therapies. The warning from the presenter was that all 
>therapists are presumed to know what is right and appropriate. The presenter 
>reminded us that we all knew that suspected drug trafficker's fancy cars 
>could be confiscated without due process and this had extended itself to 
>personal assets of physicians suspected of Medicare fraud. Guess what? They 
>are extending that to therapists whose names are on the chart. 
>You are better supported by your department's preferred practice patterns or 
>protocols: who is a candidate, what outcomes do you expect and when do you 
>discharge? 
>HCFA is dead serious and they have the support from Congress. Please consider 
>every document you write as read. If you believe in DPNS, have a protocol to 
>defend your steps.
>
>Marge Graham
>
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