I love the Goal Tracker! It has helped me to improve my documentation and demonstration of medical necessity by prompting me to chart a patient’s progress toward goals at each visit.
-Darlene Pope, PT, OCS, C0-Owner
Spine Sport and Industrial (SSI) Physical Therapy

Medicare Compliance

By Clinicient
| on October 30, 2011

Take the Worry out of Compliance

Staying compliant with constantly changing requirements makes running a practice more and more difficult. Surviving an audit without incurring costly, and sometimes devastating fines is yet another challenge. With Clinicient, you will spend less time trying to navigate through the complexities and demands of compliance – giving you and your staff more time to care for patients and a noticeable reduction in your fear and anxiety of an audit.

More than once Medicare surveyors have been known to compliment our customers on their documentation when they’ve been audited. Just a few of the ways we help with compliance include:

Medicare Requirements

It’s very risky not following Medicare’s rules – so much so that an audit can put you out of business. Many practices don’t realize how critical it is that their clinical documentation and combined billing adhere to very specific requirements. We do, and our system is loaded with embedded processes that automatically track and alert staff to keep on top of:

  • Medicare Therapy Caps, including the new Manual Medical Review Exception
  • Automated Functional Limitation Reporting 
  • PQRS
  • Authorized Visits
  • Plans of Care (POC)
  • Physician certifications
  • Progress Reports
  • Modifiers
  • Co-signing
  • ABNs

Therapists love Clinicient because it allows them to easily establish and track long term functional goals and short term clinical goals. It is one of the only systems that truly allows them to focus on patient treatment and makes it easy to create defensible documentation that demonstrates medical necessity. Additionally, each and every visit is pre-audited at sign-off so therapists are automatically prompted with:

  • CCI edits that have been applied
  • CMS rounding rules that have automatically calculated visit units for them
  • Modifiers needed
  • Over and under billing

And because your billing is managed in the same system with Clinicient, you can rest assured that what gets billed will always match what gets documented, reducing your audit risk.

To see for yourself:

Watch our short video on how we help therapists
in creating defensible documentation in physical therapy.

Data Security

We’ve all heard the stories of computers containing patient data and information getting stolen. Clinicient is web-based and patient information is never stored on your computer, so you don’t need to worry about this. All your patient information is kept safe and secure in our data centers with the highest level of security available. The system is automatically backed up every few minutes, so you also can rest assured that if the event of a natural disaster, your patient’s records are safe and sound, and easily accessible.

Secure Communication

Protected Health Information (PHI) is a top compliance concern, requiring certified or encrypted delivery when communicating anything patient related across various channels. With Clinicient, all transmitted information that includes (PHI) is encrypted for delivery. Clinical reports can be faxed directly from the system FREE OF CHARGE. No need to print anything to paper and worry about securely filing or shredding paper documents or files.

For a full list of all the ways we can help you with compliance, contact us today.