Medicaid Archives | WebPT

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4 Facts Every PT Should Know About Telehealth Compliance

Telehealth is no passing fad. In fact, more and more PTs are getting wise to the benefits of implementing telehealth technology in their practices—including better access to homebound and rural patients, increased revenue opportunities, and decreased provider costs.

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The Difference Between Medicare and Medicaid Billing and Reimbursement

At first glance, Medicare and Medicaid might seem like twins, or a dynamic duo, or two peas in a pod—basically, inseparable. They’re both government healthcare programs; they were both created at the same time; they’re both confusing and usually don’t boast the best reimbursement rates; and they even sound alike (they both start with “Medi-,” right?).

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The Dos and Don’ts of Balance Billing

If you’ve been in the rehab therapy game long enough, chances are, you’ve heard a thing or two about balance billing. But, if you’re out of the loop—or if you’re wondering what balance billing is, anyway—here’s the gist, according to this article from Becker’s Hospital Review: “The practice of balance billing refers to a physician’s ability to bill the patient for an outstanding balance after the insurance company submits its portion of the bill. Out-of-network physicians, not bound by contractual, in-network rate agreements, have the ability to bill patients for the entire remaining balance.”

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Dawn of the ICD-10: Life in the Post-Transition World

Some of you might remember all of the hype around Y2K. Rumors and speculation were abuzz, and there were people who thought all hell was going to break loose when the clock struck midnight on January 1, 2000. And then—dun, dun, dun—nothing happened.

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Final Regulations for IDEA’s Early Intervention Program Released

On Tuesday, the US Department of Education released the long-awaited final regulations for the early intervention program under Part C of the Individuals with Disabilities Education Act (IDEA), a program that serves infants and toddlers through age 2 with developmental delays or conditions that have a high probability of resulting in developmental delays. These regulations will provide families, state agencies, early intervention service programs, and providers needed guidance. The department also released a notice of proposed rulemaking to amend the IDEA Part B regulations.

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Webinar Update from CMS

The Centers for Medicare & Medicaid Services’ (CMS) Provider Communications Group will host a national provider conference call on the 2011 Physician Quality Reporting System and Electronic Prescribing (eRx) Incentive Program.

The eRx Incentive Program is an incentive program for eligible professionals initially implemented in 2009 as a result of section 132(b) of the MIPPA.  The eRx Incentive Program promotes the adoption and use of eRx systems by individual eligible professionals and beginning with the 2010 eRx Incentive Program, group practices.

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Medicare and Medicaid Extenders Act of 2010 Update

The legislation recently stopped the 24.9% payment cut from occurring on January 1, 2011. However, CMS announced that the conversion factor used to update payment for next year will be $33.9764 instead of the $36.8729 conversion factor that was in effect in 2010.

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