• 6 Surefire Signs Medicare Will Audit Your PT Practice (and How to Fix 'Em) Image

    articleNov 30, 2017 | 7 min. read

    6 Surefire Signs Medicare Will Audit Your PT Practice (and How to Fix 'Em)

    Camping season may be over, but I’m in the mood to tell a scary campfire story. So, here goes: It’s an average work day. Your last patient just left, and you’ve got a little downtime between appointments to grab a cup of coffee and catch up on documentation. As you sit down at your desk, you notice a stack of envelopes. “The mail must’ve come early today,” you think to yourself. As you thumb through the advertisements …

  • Will PTs, OTs, and SLPs Ever Have to Participate in MIPS? Image

    articleNov 29, 2017 | 7 min. read

    Will PTs, OTs, and SLPs Ever Have to Participate in MIPS?

    Despite the fact that earlier this year CMS sent confusing letters to numerous rehab therapy clinics about their participation status in the Merit-Based Incentive Payment System (MIPS) , physical therapists, occupational therapists, and speech-language pathologists are still not eligible to officially participate in this quality reporting initiative. (You can double check your eligibility status by entering your NPI in the form here .) According to the APTA, though, “it's almost a given that PTs will be mandatorily …

  • Top 10 Medicare Compliance Strategies for Outpatient Therapy Providers Image

    articleNov 15, 2017 | 16 min. read

    Top 10 Medicare Compliance Strategies for Outpatient Therapy Providers

    These days, almost everyone who works in the outpatient therapy setting has treated a patient with Medicare benefits. We have all encountered the daunting list of rules and regulations we must be follow so that: Medicare considers our documentation sufficient , and We command the highest possible level of reimbursement. From G-codes to POCs and FOMs to LTGs, it’s enough to make anyone’s head spin! With that in mind, here’s a top-10 list of helpful tips for …

  • Internet or In-Person: The Pros and Cons of Online CEU Courses Image

    articleNov 14, 2017 | 6 min. read

    Internet or In-Person: The Pros and Cons of Online CEU Courses

    If you’ve got a professional license, then continuing competency requirements in the form of continuing education units (CEUs) or contact hours are a fact of life—if you’d like to keep that license of yours, that is. Because so many professionals are required to complete CEUs—healthcare providers, psychologists, and lawyers, to name a few—the debate as to whether to take those courses online or in-person is alive and well. While there’s no across-the-board right answer as to which …

  • Founder Letter: The Con Ed Conundrum: What's Wrong with PT CEUs Image

    articleNov 6, 2017 | 7 min. read

    Founder Letter: The Con Ed Conundrum: What's Wrong with PT CEUs

    Change is uncomfortable—however necessary it may be. And that uneasiness prevents many individuals and groups from seeking the kind of change that is vital to growth. This trend of paralysis is all too common in the physical therapy space, and in my mind, one glaring example of something desperately ripe for change is our lack of standardization—in terms of brand perception, patient experience, and clinical outcomes. And one way we can begin bridging that gap is to …

  • How to Select the Right CEU Credits Image

    articleNov 5, 2017 | 5 min. read

    How to Select the Right CEU Credits

    So, you’ve finished school—and graduated with your degree in your rehab specialty. But, that doesn’t mean your learning days are over. Far from it. Whether it’s learning informally from your peers, brushing up on the latest research in academic journals, or attending formal lectures or clinicals, a therapist’s learning is never done. It can’t be. Otherwise, how would you stay current on this constantly changing industry? To make sure all licensed therapists are doing just that—staying current, …

  • Putting the PT in Hospital: Direct Access in Acute Care Image

    articleNov 2, 2017 | 8 min. read

    Putting the PT in Hospital: Direct Access in Acute Care

    Physical therapy is a relatively new profession—although its origins can be traced back to Hippocrates in 460 BC . And it has quite the interesting history. In the US, many healthcare practitioners used physical therapy techniques to help patients during the polio epidemic of 1916. Then, according to this US Army Medical Department page and this slide deck by Aaron Keil, PT, DPT, OCS, it was World War I—which the US entered in 1917—that really propelled the …

  • The Ins and Outs of ABNs Image

    articleOct 24, 2017 | 6 min. read

    The Ins and Outs of ABNs

    If the rules of Advance Beneficiary Notices of Noncoverage (ABNs) make you a bit confused, you’re definitely not alone. In an effort to shed some light on the ins and outs of ABNs and to highlight some recent changes to ABN requirements, Medicare created this set of FAQs clarifying their use. Here’s some info to help bring you up to speed: What is an Advance Beneficiary Notice of Noncoverage (ABN)? An ABN is a form practitioners use …

  • Fact or Fiction? The Ultimate Medicare Myth [Quiz] Image

    articleOct 12, 2017 | 1 min. read

    Fact or Fiction? The Ultimate Medicare Myth [Quiz]

    You’ve heard the adage that fact can be stranger than fiction, right? After all, fiction has to make sense. Well, when it comes to Medicare rules, neither fact nor fiction makes much sense—at least not on first pass. But, all rehab therapists who work with Medicare patients must be able to tell the difference—if they want to remain compliant and get paid, that is. To help you put your Medicare knowledge to the test, we’ve put together …

  • Maintenance, Medicare, and Medical Necessity: Unpacking the Jimmo Update Image

    articleOct 5, 2017 | 5 min. read

    Maintenance, Medicare, and Medical Necessity: Unpacking the Jimmo Update

    Hey, have you heard the good news? CMS has completed all required action items laid out in the Jimmo v. Sebelius settlement. If you’re scratching your head and wondering why that matters, here’s the rundown: a few years ago, a group of Medicare providers alleged that CMS contractors made determinations on claims for skilled care based on an inappropriate “Improvement Standard.” These providers took CMS to court, and the court determined that CMS needed to clarify and …

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