• New Year, New Codes: How to Bill for PT and OT Evaluations in 2017 Image

    webinarOct 27, 2016

    New Year, New Codes: How to Bill for PT and OT Evaluations in 2017

    As we prepare to ring in the new year, PTs and OTs also must prepare to ring in a new set of CPT codes for therapy evaluations and re-evaluations. That’s right—the ball isn’t the only thing dropping on January 1, 2017. On that day, all of the existing PT and OT evaluative codes—including 97001, 97002, 97003, and 97004—are fading into the annals of history. In their place will be eight new codes: three for PT evals, three …

  • More Than Luck: 5 PPS 2016 Takeaways Image

    articleOct 26, 2016 | 6 min. read

    More Than Luck: 5 PPS 2016 Takeaways

    Last week, the Wynn Las Vegas was abuzz with more than the whir of spinning reels and the jangle of noisy slot machines. That’s because, amidst the usual cheers and chimes of a casino floor, more than 1,000 private practice leaders, vendors, students, and other professionals came together to share and learn advice for private practice success during PPS 2016. Throughout all of the sessions I attended, I noticed one centralized theme: it’s going to take more …

  • 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 …

  • Video Tutorial: Selecting the Correct Complexity Level for PT and OT Evals Image

    articleOct 13, 2016 | 1 min. read

    Video Tutorial: Selecting the Correct Complexity Level for PT and OT Evals

    The holidays will be here before we know it—and that means PTs and OTs will be required to use the new evaluation and re-evaluation CPT codes before we know it, too. And these codes bring with them the gift of complexity. But, unlike that snowman sweater from Great Aunt Sheila, therapists can't exchange these codes; so, whether they want to or not, PTs and OTs have to learn the ins and outs of coding for evaluative complexity …

  • Farewell, 97001: How to Use the New PT and OT Evaluation Codes Image

    articleOct 12, 2016 | 8 min. read

    Farewell, 97001: How to Use the New PT and OT Evaluation Codes

    Hear ye, hear ye: We hereby declare that as of January 1, 2017, all PTs and OTs must begin using a new set of CPT codes to bill for therapy evaluations and re-evaluations. Actually, if we are being perfectly accurate, we’re not declaring anything; CMS and the AMA are—and we’re merely the messengers. You might find it hard to believe, but with this CPT coding update, the evaluation and re-evaluation codes that PTs and OTs have come …

  • Happy National PT Month! Image

    articleOct 6, 2016 | 4 min. read

    Happy National PT Month!

    Fall has arrived, and you’re no doubt enjoying a drop in temperatures, marveling at the colorful leaves falling from the trees, and finally savoring that long-awaited pumpkin spice latte. (If not, get out of the office and #TreatYourself .) But beyond the fall-themed changes in the air, there's yet another reason to celebrate the calendar flipping to October, as this month marks the annual celebration of National Physical Therapy Month ! Each year brings with it a …

  • Founder Letter: Is the World Ready to #ChoosePT? Image

    articleOct 4, 2016 | 9 min. read

    Founder Letter: Is the World Ready to #ChoosePT?

    Fall is officially here—and all across the country, people are enjoying cozy sweaters, crisp mornings, and pumpkin spice lattes. For those of us in the physical therapy space, fall brings another exciting seasonal ritual: National Physical Therapy Month (NPTM) . Each October, the PT community—led by the APTA—unites around a specific theme as we celebrate and promote our profession. In an effort to bring even more attention to its #ChoosePT campaign, the APTA has decided to make …

  • Billing for Dry Needling Image

    articleAug 8, 2016 | 6 min. read

    Billing for Dry Needling

    It’s safe to say that trigger point dry needling has been getting under our skin (pun very much intended). That’s because we get a lot of questions about billing for dry needling—specifically, about whether physical therapists are actually allowed to bill for the practice—and there isn’t an easy answer. In fact, there isn’t an answer at all. Here’s why: The Scope-of-Practice Problem Dry needling has taken some heat. Back in 2009, the American Academy of Orthopedic Manual …

  • CPT Update: Why the Valuation of the New PT and OT Eval Codes is Problematic Image

    articleJul 19, 2016 | 9 min. read

    CPT Update: Why the Valuation of the New PT and OT Eval Codes is Problematic

    The purpose of any type of reform is to drive change. And that’s certainly true when it comes to healthcare—and healthcare payment—reform. But, change often comes slowly—and in the wake of Medicare’s recently issued proposed physician fee schedule for 2017 , I have to wonder whether it’ll come too slowly for physical and occupational therapists. That’s because, while the Centers for Medicare & Medicaid Services (CMS) voiced its support for replacing the existing CPT codes for physical …

  • Get Over Opioids: Join the #ChoosePT Movement Image

    articleJun 27, 2016 | 4 min. read

    Get Over Opioids: Join the #ChoosePT Movement

    Patients are supposed to trust their doctors. So, when your doctor writes you a prescription, you usually don’t question it; you fill it, take it, and hope that it will make you better. But, what happens when a prescription turns into an addiction? Unfortunately, millions of Americans have learned the answer to that question the hard way. The Painkiller Problem As the APTA explains in a recent position paper titled, “Opioid Abuse and the Role of Physical …

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