With the addition of Hawaii, 46 states now give patients the ability to get an evaluation from physical therapists without having to get a referral from their doctor.

Patients in Hawaii now can be evaluated and treated by physical therapists without first having to obtain a physician referral. With the passage of new State Board of Physical Therapy regulations last month, Hawaii becomes the 46th state to achieve direct access. On November 9, 2010, the Hawaii Board of Physical Therapy hosted a public hearing on the proposed board regulations that would remove the current referral requirement and provide Hawaii with unrestricted direct access. The governor's public hearing was the culmination of more than 9 years of work by the Hawaii Board of Physical Therapy, the Hawaii Chapter, and APTA State Government Affairs. Members of the Hawaii Chapter attended the public hearing to show their support and provide testimony on proposed regulations. The regulations passed the Board unanimously and were approved by outgoing Gov Linda Lingle on December 3. The Board received 98 written comments on the proposed regulations during the public comment period. All 98 comments were in support of the proposed regulations and the result of an action alert that the Hawaii Chapter and APTA sent to the chapter membership. There were no written comments in opposition to the proposed regulations. Go to APTA's Moving Forward blog to read testimony from the governor's hearing given by Betsy Kendall-McCreary, the daughter of Florence Kendall, PT.

Source: PT IN MOTION

Unwrapping MIPS and the Final Rule: How to Prepare for 2019 - Regular BannerUnwrapping MIPS and the Final Rule: How to Prepare for 2019 - Small Banner
  • Ch-Ch-Changes: Tricare Updates in 2018 Image

    articleDec 22, 2017 | 3 min. read

    Ch-Ch-Changes: Tricare Updates in 2018

    Change seems inevitable in the healthcare sphere—especially when it comes to federal healthcare programs. That’s why I wasn’t surprised to hear about the many changes in store for Tricare in 2018. And when it comes to ch-ch-changes, even the starman himself advises you to “turn and face the strange.” Fortunately, we’ll be right there with you, facing those same changes and making sure rehab therapy providers can submit Tricare claims after January 1 without missing a beat. …

  • articleDec 21, 2010 | 2 min. read

    Physical Therapists should be included in the ACO model to be fully effective

    An Accountable Care Organization (ACO), is an organization of health care providers that agrees to be accountable for the quality, cost, and overall care of Medicare beneficiaries who are enrolled in the traditional fee-for-service program who are assigned to it. APTA argues that PTs should be included in the ACO model in order to continue quality of care throughout different treatment settings. For an accountable care organization (ACO) model to be successful, it will be essential that …

  • Direct Access Laws by State (Alabama-Hawaii) Image

    articleDec 8, 2017 | 10 min. read

    Direct Access Laws by State (Alabama-Hawaii)

    If you’re a physical therapist—and you’re licensed in the United States—then you’re practicing in a direct access state. That’s right: In all 50 states—as well as the US Virgin Islands and DC—direct access to at least a physical therapy evaluation is the law of the land. But, before you start seeing every patient who walks through your door without a physician referral, there are a few things you ought to know. The laws around direct access can …

  • 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 …

  • articleDec 21, 2010 | 2 min. read

    APTA defines "essential" in the context of essential benefits

    What is your interpretation of the word “essential” in the context of an essential benefit package? The official response from APTA: “Essential,” in the context of essential benefits provided under insurance plans, should mean benefits that are available and accessible to all individuals with coverage without increased premiums and co-payments. Essential benefits include, but are not limited, to preventing the spread of disease, improving and/or eradicating certain medical conditions or disease states, improving and minimizing the effects …

  • Live from CSM: Leading the Way in Healthcare Reform and Women’s Empowerment Image

    articleFeb 6, 2015 | 15 min. read

    Live from CSM: Leading the Way in Healthcare Reform and Women’s Empowerment

    Temperatures here in Indianapolis have finally broken the freezing mark, with today’s predicted high at a balmy 40 degrees. But that warming trend isn’t limited to the brisk Midwest air. Things also are heating up inside of the Indiana Convention Center, where thousands of physical therapy professionals and students have converged for the APTA’s 2015 Combined Sections Meeting (CSM). There’s no shortage of hot issues on the radar for the physical therapy industry this year—and CSM’s jam-packed …

  • Direct Access Laws by State (Idaho-Mississippi) Image

    articleDec 11, 2017 | 9 min. read

    Direct Access Laws by State (Idaho-Mississippi)

    Yesterday, I broke down the what’s what of direct access laws by state, starting in Alabama and ending in Hawaii . Today, I’m continuing our guided tour of direct access law by kicking things off in Idaho and making our way down the list to Mississippi. (Don’t worry about gas money: we’ll do it all from the comfort of our homes or offices.) Just to reiterate, I’m not a legal or compliance expert, and all of the …

  • Hot Out of the Oven: Highlights of the 2017 Final Rule for PTs, OTs, and SLPs Image

    articleNov 9, 2016 | 8 min. read

    Hot Out of the Oven: Highlights of the 2017 Final Rule for PTs, OTs, and SLPs

    Halloween may be over, but if you didn’t get your fill of scares, I’ve got the perfect activity for you: reading through 1,401 pages of pure Medicare gobbledygook. Screaming yet? (Or should I check back at around page 500?) I kid, of course; there’s no need for you to slog through this year’s extra meaty Final Rule —which details the Medicare fee schedule and other important Medicare regulatory and reimbursement changes for physical therapy, occupational therapy, and …

  • articleDec 6, 2010 | 1 min. read

    Ad sponsored by APTA had impact on Medicare

    Scott Ward, APTA President, writes a letter talking about the importance of "strength in numbers" in urging Congress to pass legislation to extend the therapy cap exceptions process beyond December 31. A full-page ad on the detrimental effects of the therapy cap on Medicare beneficiaries ran yesterday in Roll Call and Politico – the two newspapers most widely read by members of Congress and their staff. The ad, sponsored by APTA and other members of the Therapy …

Achieve greatness in practice with the ultimate EMR for PTs, OTs, and SLPs.