• The What, Why, and How of MPPR Image

    articleDec 13, 2016 | 5 min. read

    The What, Why, and How of MPPR

    In an age of increased regulations and reduced fee schedules, turning a profit in the outpatient rehab therapy industry is tougher than ever. And for the past five years—going on six—it’s been particularly tough for those therapists who treat a lot of Medicare patients. That’s because, under a policy called multiple procedure payment reduction (MPPR), CMS won't pay claims in full when a PT, OT, or SLP performs more than one related procedure on a patient during …

  • Hot Out of the Oven: Highlights of the 2017 Final Rule for PTs, OTs, and SLPs Image

    articleNov 9, 2016 | 8 min. read

    Hot Out of the Oven: Highlights of the 2017 Final Rule for PTs, OTs, and SLPs

    Halloween may be over, but if you didn’t get your fill of scares, I’ve got the perfect activity for you: reading through 1,401 pages of pure Medicare gobbledygook. Screaming yet? (Or should I check back at around page 500?) I kid, of course; there’s no need for you to slog through this year’s extra meaty Final Rule —which details the Medicare fee schedule and other important Medicare regulatory and reimbursement changes for physical therapy, occupational therapy, and …

  • Top Regulatory Changes of 2014 Image

    articleDec 22, 2014 | 3 min. read

    Top Regulatory Changes of 2014

    Ch-ch-ch-changes : We’ve seen a plethora of regulatory changes this year in the PT space—from the ICD-10 delay to the therapy cap increase. Although some of these legislative twists and turns have caused headaches for therapists, others have been hugely positive. For instance, some form of direct access is now available in all 50 states as well as Washington, DC, and the US Virgin Islands. Read on to learn this year’s top regulatory changes. Regulatory Heavy-Hitters of …

  • Monitoring Your Clinic’s Medicare Compliance Within WebPT Image

    articleFeb 13, 2014 | 4 min. read

    Monitoring Your Clinic’s Medicare Compliance Within WebPT

    It appears we have a theme going this week. Brooke devoted  Monday  and  Tuesday  to discussing WebPT’s business reports. Yesterday, I showed you  the ins and outs of the Plan of Care Report . But monitoring your Medicare compliance doesn’t end there. Here are a few more helpful reports: Medicare Payment Adjustment Report (MPAR) The Medicare Payment Adjustment Report (MPAR) shows you how multiple procedure payment reductions (MPPR) are affecting your clinic’s profits and losses. Most practice …

  • articleMay 30, 2013 | 6 min. read

    Managing MPPR: A Response to Chuck Felder’s Post from WebPT Co-Founder and PT Heidi Jannenga

    Thank you, Chuck, for presenting such detailed information on the Multiple Procedure Payment Reduction (MPPR) changes. My biggest takeaway from Chuck’s post is that, now more than ever, clinic owners must focus on practice management and truly pay attention to their business. Understanding the metrics of your practice is crucial in this age of declining reimbursements and frequent regulatory changes. There are three crucial metrics that I think come into play when assessing MPPR’s impact on your …

  • articleMay 21, 2013 | 4 min. read

    4 Key Things You Should Know About the MPPR Changes

    Today’s blog post comes from Chuck Felder, PT, DPT, SCS, MBA. For follow-up questions, please email Chuck at  CFelder@HCSconsulting.com . 1.)    What? In 2012, CMS began a process of reducing payment for therapy services based on multiple procedures performed during the same visit. This is termed the Multiple Procedure Payment Reduction (MPPR).  Despite APTA’s and others best efforts to get this removed, CMS began a 20% reduction policy on the second and subsequent procedure each day. This …

  • articleJun 15, 2011 | 1 min. read

    Aetna to Implement Multiple Procedure Reductions for Therapy Procedures

    Aetna announces multiple prodcedure reductions for cetrain therapy procedures. According to Aetna's June  OfficeLink Updates , the insurer will apply multiple procedure reductions to certain therapy procedures for dates of service beginning November 14. The procedure with the highest practice expense relative value unit will be allowed at 100%. Each additional therapy service performed by the same provider group on the same date of service will be allowed at 80%. APTA is investigating to determine if this …

  • articleJan 10, 2011 | 2 min. read

    Online calculators reflect new medicare fee schedule conversion factor

    APTA's online fee schedule calculator now reflects the $33.9764 conversion factor that will be used in 2011. To use these calculators , click here. Updated Fee Schedule and MPPR Calculators Now Available APTA has updated its Medicare fee schedule calculator to reflect the $33.9764 conversion factor that will be used in 2011. The fee schedule calculator provides the payment amount for each CPT code based on geographic location. It does not guarantee that a local contractor will …

  • articleJan 2, 2011 | 2 min. read

    Multiple Procedure Payment Reduction (MPPR) of 5% for Therapy Services

    CMS will make full payment for the therapy service or unit with the highest practice expense value and reduce payment of the practice expense component by 20% in the office setting and 25% in institutional settings for the second and subsequent procedures or units of service furnished during the same day for the same patient. Based on policy changes required by the Physician Payment and Therapy Relief Act of 2010, the Centers for Medicare and Medicaid Services …

  • articleDec 21, 2010 | 1 min. read

    President Obama stops SGR cuts

    By signing HR 4994 into law Presiden Obama prevents the scheduled 24.9% Sustainable Growth Rate (SGR) Medicare payment cut and extending current Medicare payment rates through December 31, 2011. On Wednesday, President Obama signed Senate Amendment to HR 4994, the Medicare and Medicaid Extenders Act of 2010, into law -- preventing the scheduled 24.9% Sustainable Growth Rate (SGR) Medicare payment cut and extending current Medicare payment rates through December 31, 2011. The law also extends the therapy …

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