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 pathology.

Source: AMERICAN PHYSICAL THERAPY ASSOCIATION - PT IN MOTION

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  • 3 CJR Examples Image

    articleDec 9, 2016 | 6 min. read

    3 CJR Examples

    If you’ve been paying attention to the WebPT Blog—or healthcare chatter in general this year—you’re probably already familiar with Medicare bundled payments, specifically CMS’s Comprehensive Care for Joint Replacement (CJR) payment model. If not, check out this article and this one , because there are definitely opportunities for PTs to participate. In addition to those great posts—which detail the basics of the program as well as things to consider when deciding whether or not to participate—we thought …

  • Denial Management FAQ Image

    articleMay 26, 2017 | 22 min. read

    Denial Management FAQ

    During our denial management webinar , we discussed the difference between rejections and denials, explained how to handle both, and provided a five-step plan for stopping them in their tracks. The webinar concluded with an exhaustive Q&A, and we’ve amassed the most common questions here. Insurance Issues Claim Quandaries Compliance Qualms Documentation Dilemmas Front-Office Frustrations Insurance Issues We’ve had issues with auto insurances denying 97112 (neuromuscular re-education) for non-neuro diagnoses, even in cases when the patient’s medical …

  • 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 …

  • Evaluation Exam: Do You Know How to Use the New PT and OT Eval Codes? [Quiz] Image

    articleMar 3, 2017 | 1 min. read

    Evaluation Exam: Do You Know How to Use the New PT and OT Eval Codes? [Quiz]

    On January 1, 2017, new CPT codes went into effect for PT and OT evaluations and reevaluations. To use these new codes correctly, PTs and OTs must determine—and code for—the correct level of complexity associated with each patient evaluation. As with anything new, the implementation of these codes stirred up quite a few tough questions. Think you know how to use them? Test your skills on this quiz to be sure. After all, incorrect code selection could …

  • Breaking News: 2017 MACRA Final Rule Hits Image

    articleOct 17, 2016 | 4 min. read

    Breaking News: 2017 MACRA Final Rule Hits

    After months of heated debate and public commentary—much of it coming from physicians who felt they needed more time to prepare themselves to participate in a brand-new quality reporting program—the Department of Health & Human Services (HHS) on Friday released its final rule on the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) . This act, which will go into effect January 1, 2017, reimburses eligible Medicare physicians based on the quality of care they deliver …

  • 2016 CPT Code Changes: What PTs, OTs, and SLPs Need to Know Image

    articleNov 11, 2015 | 2 min. read

    2016 CPT Code Changes: What PTs, OTs, and SLPs Need to Know

    January 1 marks the start of a brand new year. As we clean up the discarded party hats, noise-makers (i.e., pots and pans), and champagne flutes, we tend to reflect on the past year. Upon doing so, we often find that some of our old habits aren’t worth holding onto. That’s why many of us make new resolutions to adopt healthy lifestyle changes (new year, new you!), while simultaneously kicking our bad habits to the curb. But …

  • Cloudy with a Chance of Reform: 5 Key Healthcare Forecasts for 2017 Image

    webinarJan 5, 2017

    Cloudy with a Chance of Reform: 5 Key Healthcare Forecasts for 2017

    Predicting the weather is tough—just ask any meteorologist who has called for sun on the day of a major downpour. Well, predicting the fate of the US healthcare system isn’t much easier—there’s a lot up in the air, after all. But, even without a healthcare equivalent of Doppler Radar, there are a few key trends that are sure to have a major impact on PTs, OTs, and SLPs in 2017 and beyond. And to keep your practice …

  • PQRS 2016 Measures Image

    articleNov 19, 2015 | 1 min. read

    PQRS 2016 Measures

    While PQRS measures specifications won’t be available until December, we do know which measures are available for 2016. Here’s the breakdown by specialty: Physical Therapy #126 Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation #127 Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear #128 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up #130 Documentation of Current Medications in the Medical Record #131 Pain Assessment and …

  • Founder Letter: Dodging Data will be Your Demise (or, Why You Should Complete PQRS)  Image

    articleNov 5, 2015 | 6 min. read

    Founder Letter: Dodging Data will be Your Demise (or, Why You Should Complete PQRS)

    By and large, Medicare’s 2016 Final Rule was underwhelming—and for most of us (including me), that probably warranted a big sigh of relief. But while there are no major changes on deck for this year, one thing that definitely should have caught your eye if you perused our Quick Guide to the 2016 Final Rule was the verbiage alluding to the future of PQRS—specifically, the possibility that PQRS reporting as we know it could cease to exist …

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