CMS Releases Proposed 2015 Medicare Physician Fee Schedule

Earlier this week, the Centers for Medicare & Medicaid Services (CMS) released the proposed Medicare physician fee schedule for 2015. You can read highlights of the proposed rule and access a link to view the full version here. CMS will accept public comments on the rule until September 2, 2014, and the organization is expected to release the final fee schedule on or before November 1, 2014.

ACL Reconstructions May Last Longer Depending on the Type of Ligament Material

A new study presented at the Annual Meeting of the American Orthopaedic Society of Sports Medicine (AOSSM) found that the material used to create a new ligament in ACL reconstruction surgery greatly affects the longevity of the reconstruction. The study found that tissue harvested from a tissue bank was more likely to fail than tissue harvested from the patient. Read more about this study and how it affects young athletes here.


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Regulatory Roundup: 6 Challenges Confronting Rehab Therapists in 2018 - Regular BannerRegulatory Roundup: 6 Challenges Confronting Rehab Therapists in 2018 - Small Banner
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    articleAug 11, 2016 | 3 min. read

    What the New HCAHPS Proposal Means for the Future of Hospital-Based PT

    When a patient is in pain, that patient wants relief—fast. And even if the patient knows medication is only a temporary fix—and a potentially dangerous one, at that—he or she will probably still choose drugs over longer-lasting, less-instant treatment options like physical therapy. For healthcare providers beholden to payment structures that incentivize patient satisfaction, that preference presents a real pickle: give the patient what he or she wants—long-term consequences be damned—or risk lower satisfaction scores (and potentially …

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    articleApr 4, 2014 | 2 min. read

    This Week in PT News, April 4

    ICD-10 Delayed On Monday, the Senate approved HR 4302, which extends the Sustainable Growth Rate (SGR) fix for another year and delays mandatory ICD-10 implementation until 2015. Learn more about this legislation and how it will affect your practice here . Muscle Mass Valuable in Older Adults A new study out of UCLA shows that the more muscle mass older adults have, the less likely they are to die prematurely. This article explains why muscle mass might …

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    articleAug 8, 2014 | 2 min. read

    This Week in PT News, August 8

    UnitedHealthcare Delays Requirement for Functional Limitation Reporting UnitedHealthcare announced on Monday that it is delaying its plan to implement functional limitation reporting (FLR) for physical therapy. In May, UnitedHealthcare announced that it would require FLR starting in August 2014. Since announcing the delay, the carrier has not released a new implementation date. Read more about the delay here . Physical Therapy and Corticosteroid Injections Offer Equal Relief from Shoulder Pain According to an article published in the …

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    articleMay 1, 2014 | 2 min. read

    This Week in PT News, May 2

    CMS Hints at ICD-10 Transition Date Last night, during the release of 2015 IPPS Proposed Rule , CMS referenced October 1, 2015, as the new implementation date for ICD-10. In fact, according to the AAPC , CMS referenced that date three separate times within the proposed rule. Not prepared for the transition? Well, we have you covered. You can reference our previous blog posts about ICD-10 here or you can head over to our ICD-10 blog . …

  • Triumph in the Triple-Aim Game: The Healthcare Executive’s Guide to Readmission Reduction, Patient Safety Promotion, and ACO Success Image

    downloadSep 28, 2016

    Triumph in the Triple-Aim Game: The Healthcare Executive’s Guide to Readmission Reduction, Patient Safety Promotion, and ACO Success

    The Affordable Care Act (ACA) and other reform efforts have brought forth a renewed emphasis on care coordination at all points along the care continuum—including the period after hospital discharge. As part of this push, new financial incentives and penalties have put healthcare executives at the center of a high-pressure game of tug-of-war in which they must simultaneously improve care quality and reduce costs. Talk about a catch-22. Enter your email address below to download this guide …

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    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 …

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    articleJul 25, 2014 | 2 min. read

    This Week in PT News, July 25

    APTA Opposes UnitedHealthcare's Plan to Require Functional Reporting On Monday, July 21, the APTA announced that they have sent a letter to UnitedHealthcare urging the carrier to halt plans to implement functional reporting on August 1, 2014. The APTA argues this move is ill-advised due to the burden it will create for therapists and lack of data regarding the effectiveness of functional limitation reporting. Read more on the APTA’s stance on UnitedHealthcare’s decision here Little League Shoulder …

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    articleAug 18, 2016 | 4 min. read

    Between a Rock and a Hard Place: Reducing Readmissions Despite Earlier Discharges

    If healthcare reform had a tagline, it’d probably include the phrase, “more for less.” In other words, most reform efforts fall in line with the ubiquitous call for providers across the entire healthcare spectrum to deliver higher-quality care at a lower cost. This have-your-cake-and-eat-it-too approach to change places a heavy burden on the leaders responsible for ensuring their organizations live up to that lofty tagline—and that’s especially true for those leaders at the helm of large hospital …

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    articleMar 15, 2019 | 10 min. read

    3 Emerging Trends in OT Telehealth and Technology

    If you’ve been to Ascend —or any business-related rehab therapy event—you’ve certainly heard this common complaint: “There are so many patients who would benefit from OT, PT, and SLP—but they aren't making it into our clinics.” To make matters worse, we therapy professionals aren't very good at retaining the patients who do come to see us. And, of the few patients who complete an entire course of therapy, many don’t comply with their home exercise programs (HEPs) …

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