On the WebPT Blog, we receive a whole lotta questions on a wide range of topics—from documentation best practices to setting a marketing budget. But one topic that comes up time and time again is what PTs can—or cannot—bill for. (And it makes a touch of sense considering that every PT practice relies on steady cash flow.)
In theory, a PT patient who needs help with low back pain should receive the same care in Alaska as they do in Hawaii. After all, PTs across the country should have equivalent skills. It should follow that a licensed Alaskan PT could move to Hawaii and immediately treat patients—right?
As of this article’s publication date, we are less than one month away from the 2020 presidential election, but I’m sure I don’t have to tell you that. Unless you’ve completely unplugged from all forms of media and resettled in the middle of nowhere, you’ve undoubtedly been confronted with phone calls, advertisements, and mailers reminding you when to vote—and for whom.
When the Centers for Medicare and Medicaid Services (CMS) finalized a 9% cut to Medicare payments for rehab therapy services, the industry exploded. Therapy organizations leapt into action, firing up advocacy efforts to convince Congress to intervene.
It appears 2020 has a few more tricks up its sleeve for physical therapists and occupational therapists. According to an announcement from the Centers for Medicare and Medicaid Services (CMS), the agency has decided to reinstate changes to National Correct Coding Initiative (NCCI) edit pairs that are frequently used by rehab therapists.
CMS has thrown down the gauntlet for PTs and OTs. It yet again challenged us, clear as day, to fight for our Medicare payments and prove our worth as healthcare providers. Sure, CMS isn’t looking for a literal round of fisticuffs—but its planned payment reduction will inflict harm just the same.
PDGM. It’s a dirty, four-letter word (acronym, actually) that all skilled home care agency owners hate to hear. The Patient-Driven Groupings Model (PDGM) launched January 1, 2020, to a tremendous amount of apprehension and protest from those in the home care world.
Every year near the end of July, the Centers for Medicare and Medicaid Services (CMS) releases a document with all of the proposed policy changes that it wants to implement. And this year, the proposed rule is a roller coaster for rehab therapists.
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
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,
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,