Compliance

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Telehealth Advocacy Templates for PTs, OTs, and SLPs

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).

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Telehealth and E-Visits: The Latest on Coverage, Documentation, Coding, and Payment

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,

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Billing for PT and OT Telehealth Services During the COVID-19 Response

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.

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Telehealth in a Time of Crisis: What Rehab Therapists Need to Know

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.

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How to Calculate Your MIPS ROI

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.

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Should Small Practices Participate in MIPS?

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.

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The Rehab Therapist’s Guide to MIPS

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.

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Hot Off the Press: CMS Reverses 2020 NCCI Changes

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):

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Breaking News: PTs and OTs See Unwelcome Changes to NCCI Edits

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.

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