• articleNov 18, 2010 | 4 min. read

    What PTs Should Know About 2011 Final Rule Medicare Changes

    Some major changes are headed our way in terms of the 2011 Medicare Final Rule on the Physician Fee schedule and Other Policies to be effective January 1, 2011.  The Rule included a number of provisions that have impact on outpatient therapy services. The net effect of the policies could lead to payment reductions of approximately 30%. If you see Medicare patients and they impact your revenue, there are several things to pay attention to and deal …

  • articleNov 16, 2010 | 2 min. read

    Medicare guidelines for skilled nursing home care and home health care are ruled too strinct

    Medicare budget cuts are forcing new guildines for skilled nursing home care and home health care but two courts have recently ruled these guidlines to be too strict. New guidlines would have meant it was the patient's responsability to prove their condition would improve over time with this assistance. The courts ruled that chronic patients in need of long-term care should not be denied services. WASHINGTON — Two federal courts have ruled that the Obama administration is …

  • articleNov 16, 2010 | 2 min. read

    APTA speaks out about continued outpatient therapy cuts

    APTA's President R. Scott Ward, PT, PhD issued a statement representing the associations disappointment in continued Medicare cuts that specifically impact therapy services. The 7%-9% reduction in payments will have reprecussions that will greatly impact our nation's seniors and disabled and anyone needing long-term care our out patient services. Statement by APTA President R. Scott Ward, PT, PhD Today the Centers for Medicare and Medicaid Services (CMS) released the 2011 Medicare Physician Fee Schedule Final Rule, which, …

  • articleNov 16, 2010 | 2 min. read

    Continued Medicare cuts and caps will affect therapy patients and providers in 2011

    The American Physical Therapy Association(APTA) is keeping its members informed about continued cuts and caps for Medicare beneficiaries. In an attempt to control cost, Medicare patients continue to see limitations on their service and the hardest hit areas are long-term rehabilitation care and outpatient services. The hardest hit by these cuts are our nation's seniors and disabled and the providers that service them. Payment cuts and caps on services will affect patients and providers in 2011 Medicare …

  • articleNov 8, 2010 | 1 min. read

    It is Illegal for PTs to be employed by Professional Corporations in the state of California

    California based physical therapists must make sure their business arrangements are very clear. The California Physical Therapy Association is available to assist in defining new business arrangements that comply with the laws. The State of California Legislative Counsel has rendered an opinion that it is illegal for PTs to be employed by any professional corporation except for those owned by physical therapists and Naturopaths. In its opinion, the Legislative Counsel confirms that, because the existing California Corporations …

  • articleNov 1, 2010 | 1 min. read

    WebPT Brings You Local and National Legislation Updates: Optional PT services for children under Medicaid

    Physical Therapy is often considered an “optional” service under Medicaid guidelines. Children can often suffer from this the most. APTA has written the following letter on behalf of the PT industry in order to offer legislative recommendations regarding this vital issue. RE: CMS-2480-NC Medicaid Program; Request for Comments on Legislative Changes to Provide Quality of Care to Children Dear Secretary Sebelius: On behalf of the American Physical Therapy Association and our 74,000 physical therapists, physical therapist assistants, …

  • articleNov 1, 2010 | 1 min. read

    WebPT Brings You Local and National Legislation Updates: CMS Regulations on Direct Supervision

    It is our ongoing goal to provide our “members” with the most up-to-date legislation information that may directly impact your clinics. …would provide hospitals relief from the Centers for Medicare and Medicaid Services' (CMS) regulations with respect to direct supervision of outpatient therapeutic services by requiring CMS to change its current policy and allow for a default setting of general supervision for outpatient therapeutic services. To be clear, these services do not include physical therapy, occupational therapy, or speech-language …

  • articleSep 7, 2010 | 1 min. read

    Billing Risks Reduced

    While monitoring your own billing risks is an ongoing task, CMS is stepping in with Comparative Billing Reports to help identify errors. However, many billing mistakes can be managed through proper billing codes, clean documentation and having the most up-to-date Medicare information available. Reprinted from REPORT ON MEDICARE COMPLIANCE, the nation's leading source of news and strategic information on false claims, overpayments, compliance programs, billing errors and other Medicare compliance issues. By Nina Youngstrom, Managing Editor (nyoungstrom@aispub.com) …

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