• articleApr 30, 2011 | 4 min. read

    Tips on Medicare Documentation Guidelines for Physical Therapy

    Medicare documentation is very important for physical therapy staff to be trained in. Without certain elements of that documentation, Medicare will refuse to pay for the services that patients have received. While that can be corrected later on, it is so much more work to do that. It is best to have it right the first time around. These tips will help with getting that Medicare documentation right. Then, patient care will be paid for by them …

  • articleFeb 28, 2011 | 2 min. read

    DOJ Updates Accessibility Requirements Under ADA

    New provisions in the Americans with Disabilities Act will provide new guidelines for Accessable Design. Read the full article below as the new regulations go into effect on March 15th. Physical therapists in private practice and those who work in medical care facilities, rehabilitation centers, and long-term care facilities should be aware of new ADA regulations for accessible design that will go in effect next month.    The Department of Justice (DOJ) published a final rule for Title …

  • articleFeb 28, 2011 | 2 min. read

    APTA Urges MedPAC to Reconsider Self-Referral Exception

    The Medicare Payment Advisory Comission recently met with APTA to discuss a series of 4 recommendations. They urged the comission to reconsider a self-referral law that typically encourages physician owned physical therapy practices. You can find the full article below. Physical therapy services are not essential to diagnosis, and thus should be removed from the in-office ancillary exception to the Stark II physician self-referral law, APTA told the Medicare Payment Advisory Commission (MedPAC) this week at a …

  • articleFeb 22, 2011 | 6 min. read

    Maximize Your Chances of Getting the PQRS Incentive by Choosing the Right Measures

    As we have discussed in a previous blog, there are 2 methods of reporting your PQRS data to CMS:  Claims-based or Registry based .  Both have their advantages and disadvantages.  Once you have decided on a reporting method, how do you decide on what measures to report on?  Here are some tips on making this important decision. 1.  Diagnoses or clinical conditions treated in your clinic :  Having eligible patients who qualify for the measures you choose …

  • articleFeb 16, 2011 | 4 min. read

    Preparing for a PT Practice Audit

    Steps to Take to Prepare for a PT Practice Audit When you operate a physical therapy practice, there is a level of regulatory detail and scrutiny that is to be expected. Of course, the word "audit" is dreaded in every aspect of life, but for a PT practice, it should be expected and in a way, welcomed. A PT practice audit and the preparations you maintain to be ready for it keeps your practice operating properly and …

  • articleFeb 9, 2011 | 4 min. read

    Registry vs Claims-Based Reporting for PQRS (PQRI)

    The Physician Quality Reporting Initiative (PQRI) is a program designed by the Center for Medicare and Medicaid Services (CMS) to improve the quality of reporting in the healthcare industry. The program is now considered to be permanent and therefore the program name has been amended to the Physician Quality Reporting System (PQRS). PQRS reporting is based on individual measures which are associated to a specific patient group by diagnosis, ailment, age, or clinical action taken by the reporting …

  • articleFeb 8, 2011 | 3 min. read

    PQRI and PQRS Explained for PTs

    In our effort to simplify the clinical environment while maintaining quality and compliance, we decided to dedicate this month the exciting topic of Medicare Regulations. This topic can to be either terrifying or boring for PTs, but it is something that must be considered and is equally important in patient care. This article aims to clear up some of the most common questions regarding the program formally known as PQRI. For your convenience I have translated the …

  • webinarFeb 7, 2011

    Take the Pain Out of Medicare (PQRS/PQRI Compliance)

    Improving Medicare and PQRS documentation in your PT clinic that can help your bottom line. This webinar was led by EMR expert and practicing physical therapist Heidi Jannenga and technology expert Michael Mannheimer. Webinar attendees will learn the answers to: What is PQRS and why should I care? Is it true that PQRS will be mandatory? What Medicare changes have been enacted recently? What measures are available and best for my clinic? How can I improve my …

  • articleJan 31, 2011 | 1 min. read

    Handout highlighting how the health care reform law will affect physical therapists

    Visit APTA's Issue in Focus to get handouts highlighting how health care reform will affect PT's. APTA's "Spotlight on Physical Therapy Private Practice and Small Business" handout highlights how the health care reform law will affect physical therapists who own or work in small businesses. This resource details the various payment, practice, coverage, and tax provisions in the law that are currently in effect or will go into effect in the future. Handouts on skilled nursing facilities …

  • articleJan 31, 2011 | 3 min. read

    APTA Provides Snapshot of Regulations under Affordable Care Act

    The US Department of Health and Human Services (HHS) has released the final rule with comment period that will implement new provider screening and enforcement measures aimed at reducing fraudulent providers and suppliers from enrolling in Medicare, Medicaid, and the Children's Health Insurance Program (CHIP). The final rule also grants these federal programs authority to suspend payments when a credible allegation of fraud is being investigated. As the federal government continues the process of implementing the Patient …

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