As our nation unites to fight the spread of COVID-19, many rehab therapy practices have reduced or eliminated in-person treatment sessions. Unfortunately, PTs, OTs, and SLPs aren’t universally authorized to provide telehealth services. Well, there’s never been a better time to change that—starting with the Centers for Medicare & Medicaid Services (CMS).
With many rehab therapists looking to transition their patients to remote care environments, the Internet has been flooded with information on telehealth, telemedicine, virtual visits, e-visits, and the like. Prior to the COVID-19 pandemic, these concepts were largely foreign to PTs, OTs, and SLPs. But with federal guidelines and payer policies changing almost daily to allow more patients to access more types of care remotely,
On March 19, the Cybersecurity & Infrastructure Security Agency (CISA) of the US Department of Homeland Security issued a memorandum and associated guidance designating physical therapists, occupational therapists, and speech-language pathologists as “essential critical infrastructure workers.”
As we reported here, as of March 17, 2020, CMS will reimburse PTs, OTs, and SLPs for certain telehealth services provided during the COVID-19 response. Specifically, these provisions apply to services that occurred on or after March 6, 2020.
In these tumultuous times, it is of the utmost importance that we prioritize the safety of our fellow healthcare workers and patients. That is why many providers are seriously considering changing their business model and reallocating resources to telehealth—especially considering that CMS is beginning to reimburse PTs and OTs for certain telehealth services.
Okay, everyone, are you ready for some good news? I know I am. After much delay, physical therapist assistants and occupational therapy assistants may begin treating Tricare patients starting April 16, 2020. Rejoice!
As the reality of pandemic sets in, industries across the country are experiencing a significant dropoff in business—and private practice rehab therapy is no different. Many therapy business owners have reached out to us for recommendations on how to address this, with several requesting information on the telehealth opportunities specifically available to them and their patients.
The Merit-Based Incentive Payment System (MIPS) has generated a fair bit of mayhem in the rehab therapy space. Surprisingly, though, it’s not the program’s complexity or potential payment impact that’s causing so much trouble—it’s the fact that MIPS participation is optional for many therapists.
It’s been more than a year since CMS added rehab therapists to the Merit-Based Incentive Payment System (MIPS)—but it’s still the talk of the town. Providers are trying to decide if participation is right for them, but weighing the pros and cons of MIPS is proving to be a little more difficult than expected.
Rehab therapists have been included in the MIPS program for more than a year now—which means you’ve endured a full year of trying to learn about (and navigate!) the twists and turns of MIPS. While simply understanding MIPS is hard enough, therapists have also been tasked with separating fact from fiction, as some vendors continue to use the cloud of MIPS-related confusion and unease to sell their MIPS-specific products.
Earlier this month, we covered some major changes to the NCCI edit rules set forth by the Centers for Medicare and Medicaid Services (CMS). Per those changes, as of January 1, 2020, PTs, OTs, and ATCs were no longer receiving payment on the following CPT codes when billed with CPT® code 97530 (therapeutic activities) and/or 97150 (group therapy):
It feels like the term “breaking news” has lost some of its gravity these days thanks in large part to the era of the 24-hour news cycle. However, today we’re bringing you information that’s hot off the press—and absolutely crucial to every single outpatient physical therapist and occupational therapist who bills for therapeutic activities, group therapy, and manual therapy.