Mailly & Inglett Consulting, LLC
Who We Are
Welcome to our Web site. This site offers you the opportunity to learn more about Mailly & Inglett Consulting, LLC. We are a NJ-based firm specializing in the legal, regulatory, and reimbursement aspects of Physical Therapy practice.
The mission of M & I is to promote and assist in the fair and equitable reimbursement for legitimate physical therapy services. In order to fulfill this mission, we have identified two major goals for both providers and payers respectively:
- Assist PTs and PTAs in improving the effectiveness and efficiency of their practice, regardless of setting, in a compliant manner.
- Assist payers in recognizing and reimbursing for appropriate and legitimate care, while reducing improper payments & improper denials.
With over 50 years combined experience, we possess extensive knowledge in the areas of; Practice, Regulation and Reimbursement, from both Provider and Payer perspectives. The extensive knowledge and background that we possess can be useful to all PTs and PTAs regardless of specialty or setting. Whether you are employed or self-employed, practice owner or administrator, we are confident that we can assist you to improve your practice simply, effectively, ethically, and profitably. We also can provide services for new OR established Physical Therapy programs, whether independent or facility-based.
As we state above, the focus of our efforts is on the fair and equitable reimbursement for legitimate physical therapy services. This means that providers must properly deliver these services, and payers must be able to recognize them as qualifying for reimbursement. We can assist both stakeholders in this regard. Some might think that such an approach is "working both sides of the street." We would simply argue that we are helping both parties to cross the street safely! As we say in our slogan, we help to "Bridge the Gap!", between payer and provider perceptions of physical therapy. Compliance with standards of care is not just a requirement for a professional, it should also be a condition for reimbursement. We can help you properly apply these standards to physical therapy care.
Remember, the key to successful PRACTICE is not just based on positive patient outcomes, it is based on THRIVING under scrutiny!
In Tennessee, the owner of a physical therapy company pled guilty to violating the anti-kickback statute and was sentenced to 4 months in prison and ordered to pay $173,000 in restitution. The woman paid kickbacks to doctors based on the percentage of her profits for the patients referred to her company for physical therapy services. During the investigation, it was also revealed that the woman employed unlicensed physical therapists, billed for more therapy than was provided, and prepared fraudulent medical records for a Medicare audit.