Bass, Berry & Sims attorney Anna Grizzle provided comments in an article for Bloomberg BNA Health Law Resource Center exposing improper billing practices at physical therapy providers. As Anna points out in the article, according to a March 2018 report from the Health and Human Services Office of Inspector General, “61 percent of a sample of 2013 claims for physical therapy services didn’t comply with Medicare requirements [which] highlights the need for greater reviews by physical therapy providers.”

“In addition to conducting their own internal claims audits, therapy providers [should] educate clinical and billing staff about Medicare requirements to ensure the claims are appropriate,” recommends Anna.

The full article, “Internal Audits Needed by Physical Therapy Providers,” was published by Bloomberg BNA Health Law Resource Center on March 30, 2018, and is available online (subscription required).

Additional details about fraud within the healthcare industry, including skilled nursing facilities and physical therapy providers, can be found in the Healthcare Fraud and Abuse Review 2017. The Review, compiled by the firm’s Healthcare Fraud Task Force, is an in-depth and comprehensive review of enforcement settlements, court decisions and developments affecting the healthcare industry. Download a copy of The Review here.