• articleJan 2, 2011 | 2 min. read

    Washington State Governor Restored Medicaid Funding for Therapy

    Workign together a number of assocaitions provided the governor with "concrete suggestions" including alternative cuts that gave Washington's governor the information she needed to restore therapy to the Medicaid budget. On December 17, Washington Gov Christine Gregoire restored funding for adult physical therapy services as part of her supplemental budget recommendations to the FY2011 state budget. Gregoire withdrew threatened cuts that would have eliminated physical, occupational, and speech therapies. The restored funding prevents elimination of physical therapy, …

  • articleJan 2, 2011 | 2 min. read

    Multiple Procedure Payment Reduction (MPPR) of 5% for Therapy Services

    CMS will make full payment for the therapy service or unit with the highest practice expense value and reduce payment of the practice expense component by 20% in the office setting and 25% in institutional settings for the second and subsequent procedures or units of service furnished during the same day for the same patient. Based on policy changes required by the Physician Payment and Therapy Relief Act of 2010, the Centers for Medicare and Medicaid Services …

  • articleJan 2, 2011 | 2 min. read

    Medicare and Medicaid Extenders Act of 2010 Update

    The legislation recently stopped the 24.9% payment cut from occurring on January 1, 2011. However, CMS announced that the conversion factor used to update payment for next year will be $33.9764 instead of the $36.8729 conversion factor that was in effect in 2010. The Centers for Medicare and Medicaid Services (CMS) this week released corrected payment amounts for 2011 that incorporate the changes included in the Medicare and Medicaid Extenders Act of 2010 that was signed into …

  • articleDec 28, 2010 | 4 min. read

    Are you working over the holidays? Welcome to the club!

    During the holiday season, I know it’s not just me, but at this time (more than most) there never seems to be enough time in a day to get everything on your list done.  The holidays are meant to be a time spent with family, but when running a PT clinic or any small business, it takes some juggling to find the balance.  In a survey by Xobni , a company that develops tools to manage your …

  • articleDec 21, 2010 | 2 min. read

    APTA defines "essential" in the context of essential benefits

    What is your interpretation of the word “essential” in the context of an essential benefit package? The official response from APTA: “Essential,” in the context of essential benefits provided under insurance plans, should mean benefits that are available and accessible to all individuals with coverage without increased premiums and co-payments. Essential benefits include, but are not limited, to preventing the spread of disease, improving and/or eradicating certain medical conditions or disease states, improving and minimizing the effects …

  • articleDec 21, 2010 | 2 min. read

    Physical Therapists should be included in the ACO model to be fully effective

    An Accountable Care Organization (ACO), is an organization of health care providers that agrees to be accountable for the quality, cost, and overall care of Medicare beneficiaries who are enrolled in the traditional fee-for-service program who are assigned to it. APTA argues that PTs should be included in the ACO model in order to continue quality of care throughout different treatment settings. For an accountable care organization (ACO) model to be successful, it will be essential that …

  • articleDec 21, 2010 | 1 min. read

    President Obama stops SGR cuts

    By signing HR 4994 into law Presiden Obama prevents the scheduled 24.9% Sustainable Growth Rate (SGR) Medicare payment cut and extending current Medicare payment rates through December 31, 2011. On Wednesday, President Obama signed Senate Amendment to HR 4994, the Medicare and Medicaid Extenders Act of 2010, into law -- preventing the scheduled 24.9% Sustainable Growth Rate (SGR) Medicare payment cut and extending current Medicare payment rates through December 31, 2011. The law also extends the therapy …

  • articleDec 13, 2010 | 2 min. read

    FTC gives PT'=s a reprieve on Red Flag Rules

    Red Flag rules go into effect January 1, 2011 but physical therapist in small practices are exempt due to a new ruling this week. Legislation passed this week exempts physical therapists in small practices and other health care providers from the Red Flags Rule requirements that will go into effect January 1. The Red Flag Program Act of 2010 (S 3987), signed into law Wednesday after passing the House of Representatives, narrows the scope of Section 114 …

  • articleDec 13, 2010 | 2 min. read

    Healthcare Jobs, including Physical Therapist , make list of best jobs for 2011

    As the population ages and baby boomers find themselvs in need of healthcare services, occupations with fewer years of study and moderate salaries—like physical therapist assistant, are in high demand. Jennifer Gamboa, PT, DPT, OCS, and Janet Crosier, PT, DPT, MEd, director of APTA’s Physical Therapist Assistant Services, offer "real advice" for people interested in becoming physical therapists and physical therapist assistants in US News & World Report’s article on the 50 best health care careers of …

  • articleDec 9, 2010 | 2 min. read

    The Medicare and Medicaid Extenders Act of 2010

    This legislation would prevent the scheduled 25.5% Medicare payment cut to physical therapists and other health care providers paid under the physician fee schedule. Today, the US House of Representatives passed Senate Amendment to H.R. 4994 , the Medicare and Medicaid Extenders Act of 2010 (by a vote of 409-2). This legislation would prevent the scheduled 25.5% Medicare payment cut to physical therapists and other health care providers paid under the physician fee schedule. The provision in …

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