• How the Affordable Care Act Impacts Patient Payment Collection Image

    articleMay 16, 2016 | 5 min. read

    How the Affordable Care Act Impacts Patient Payment Collection

    You take the good; you take the bad. You take ’em both, and you have healthcare reform. Like most government-led initiatives, healthcare reform in general—and the Affordable Care Act (ACA) in particular—has inspired a lot of passionate debate. And that’s because, while it has expanded health coverage to millions of previously uninsured people (woo-hoo!), it also has given way to some less-than-positive consequences. One such effect: the trend toward increased patient financial responsibility (whomp, whomp). Out-of-Pocket Overload …

  • 5 Things PTs Need to Know About Telehealth in 2016 Image

    articleJan 5, 2016 | 4 min. read

    5 Things PTs Need to Know About Telehealth in 2016

    In 2015, lawmakers at both the federal and state levels recognized—and took action to alleviate—the lack of readily available and affordable healthcare options: namely, through legislation that opened the door for telehealth expansion. In fact, this Medscape article reveals that in the last year alone, “200 bills addressing telehealth were introduced in 42 states.” That’s a lot of legislative legwork. And while we can’t shrink and teleport healthcare providers through a television— Willy Wonka-style —quite yet, the …

  • This Week in PT News, June 26 Image

    articleJun 26, 2015 | 2 min. read

    This Week in PT News, June 26

    Prevent Interruptions in Physical Therapy Act Passes Senate Committee The US Senate Finance Committee has approved the Prevent Interruptions in Physical Therapy Act (S. 313), a piece of legislation proposing extended "locum tenens" provisions for physical therapists in rural and underserved areas. According to  this PT in Motion article , the bill would “allow a PT to bring in another licensed physical therapist to treat Medicare patients and bill Medicare through the practice provider number during temporary …

  • This Week in PT News, June 12 Image

    articleJun 12, 2015 | 2 min. read

    This Week in PT News, June 12

    New Study Reveals Why Some Indigenous Cultures Don’t Experience Back Pain According to NPR, California acupuncturist Esther Gokhale recently conducted an investigation into the factors that might explain why some indigenous cultures don’t experience low back pain. Like 75% of Americans, Gokhale has experienced back pain, and she wasn’t convinced Western medicine could cure her ailment. So, she spent ten years visiting and studying populations that report having little to no back pain. She noticed that while …

  • New and Improved: Details on Sustainable Growth Rate Formula Replacement Image

    articleJun 1, 2015 | 3 min. read

    New and Improved: Details on Sustainable Growth Rate Formula Replacement

    Ding-dong—the Sustainable Growth Rate (SGR) formula is dead . As of April 16, 2015—after 17 temporary patches—the wizards in Washington have permanently repealed the flawed SGR formula that threatened to significantly cut Medicare payments. Now, when payments exceed the growth in per-capita gross domestic product, PTs will no longer face reduced payments. Instead, they can look forward to a bit more stability, simplicity, and cash flow for the next decade. The new payment determination process begins with …

  • Why PTs Should Approach ACOs with Caution Image

    articleMay 28, 2015 | 6 min. read

    Why PTs Should Approach ACOs with Caution

    While many ACOs are enjoying success , that hasn’t been the case for everyone—especially when it comes to CMS-sponsored programs. As of September 2014, only 19 of the original 32 organizations that joined the Medicare Pioneer Accountable Care Organization program were still involved. Despite the program’s total savings of more than $384 million over two years, the economic model didn’t work for all participants. Some of the Pioneer organizations weren’t able to make large enough improvements in …

  • 3 Newsworthy Notes about the HITECH Act in 2015 Image

    articleMay 27, 2015 | 6 min. read

    3 Newsworthy Notes about the HITECH Act in 2015

    The HITECH Act ignited a fervor in the healthcare industry in the early 2010s. Part of the American Recovery and Reinvestment Act (ARRA) of 2009, the Health Information Technology for Economic and Clinical Health Act (a.k.a. the HITECH Act) incentivizes the adoption and meaningful use of electronic health record (EHR) systems—and penalizes those who fail to do either. According to CMS , eligible providers could receive incentives up to $44,000 through Medicare and up to $63,750 through …

  • To ACO or Not to ACO: The Efficacy Question Image

    articleMay 20, 2015 | 4 min. read

    To ACO or Not to ACO: The Efficacy Question

    Yesterday, I told you about accountable care organizations (ACO) and how they might affect your physical therapy practice . Just one of several alternative payment models , the ACO approach seems to foster better and more expedient care, lower costs, and greater emphasis on physical therapists’ role as care coordinators. But CMS has experienced high dropout rates with its Pioneer program, and Medicare has already gone through three iterations of its ACO model, including the recent release …

  • What PTs Need to Know About ACOs Image

    articleMay 19, 2015 | 5 min. read

    What PTs Need to Know About ACOs

    As a physical therapist, you’re likely well-versed in the acronyms that drive your documentation practices: HIPAA , CPT , CMS , PQRS , FLR , and FML (just kidding). But there’s one more to watch for: ACO. By now, you’ve probably heard this one being bandied about in discussions about healthcare reform and alternative payment models, but you might not be super familiar with what it means. So, here you go: In response to the Affordable Care …

  • The Pay-for-Performance Puzzle: 3 Ways PTs Can Get a Piece Image

    webinarMay 1, 2015

    The Pay-for-Performance Puzzle: 3 Ways PTs Can Get a Piece

    There are a lot of moving parts when it comes to payment reform: better access, lower cost, and improved accountability. And when you put ’em all together, you have a model that rewards quality over quantity, which is a great thing for PTs—if they know how to see the big picture and prepare accordingly. In this webinar, hosts Heidi Jannenga and Charlotte Bohnett will assemble the pay-for-performance puzzle and detail three things PTs can do to get …

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