CMS Archives | WebPT

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The Dos and Don’ts of Telehealth Billing Compliance

Some states—such as Louisiana and Ohio—had already authorized telehealth as a mode of service delivery for physical therapists. A few state Medicaid programs, such as Minnesota, reimbursed for OT and SLP telehealth services. Of course, Medicare did not authorize rehabilitation providers to deliver services virtually

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The 4 Biggest Telehealth Challenges for PT Clinics

Last week, CMS announced that PTs—along with OTs and SLPs—are eligible to provide telehealth services to Medicare beneficiaries for the duration of this emergency, which is huge. Rehab therapists have been advocating hard for this move since well before the pandemic struck, and now that this change is on the books,

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5 Strategies to Safely Reopen Your Rehab Therapy Practice

Slowly but surely, the country is starting to open up again following weeks of state-issued orders to stay home or shelter in place. For many, one of the first changes is allowing elective surgeries and other “non-essential” medical procedures to resume—something that,

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Breaking News: CMS Authorizes PTs, OTs, and SLPs to Provide Telehealth Services

On Thursday, April 30, the Centers for Medicare and Medicaid Services officially made physical therapists, occupational therapists, and speech-language pathologists eligible to deliver—and receive reimbursement for—telehealth services for the remainder of the public health emergency period. This change—along with all other temporary provisions included in the full CMS bulletin—is retroactive to March 1, 2020.

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News Bulletin: Latest NCCI Changes Beneficial for PTs

Who’s ready for some good news? According to reports from the American Physical Therapy Association (APTA), the Centers for Medicare and Medicaid Services (CMS) has lifted the remaining restrictive NCCI changes the entity implemented this past January.

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Medicare’s Accelerated and Advance Payment Program: Everything Rehab Therapists Need to Know

Because of the coronavirus, many rehab therapy clinics are in dire financial straits. Appointment cancellations are spiking, cash flow is dwindling, and practices are struggling to pay employees. So, when the President signed the Coronavirus Aid, Relief, and Economic Security (CARES) Act into law on Friday, March 27, 2020, many healthcare providers were thrilled to learn it included provisions for accelerated and advance payments from Medicare. 

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How to Handle Modifier 59 Denials for 97530 and 97140

Following several CMS announcements that providers were overusing modifiers 25 and 59 as a means to bypass edit pairs (without supplying proper documentation to support those bypasses), multiple commercial payers—including Anthem, Aetna, and Humana—adopted front-end claim edit policies for claims containing these modifiers.

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Telehealth in a Time of Crisis: What Rehab Therapists Need to Know

As the reality of pandemic sets in, industries across the country are experiencing a significant dropoff in business—and private practice rehab therapy is no different. Many therapy business owners have reached out to us for recommendations on how to address this, with several requesting information on the telehealth opportunities specifically available to them and their patients.

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