Category Archives: Current News

Sunday, December 16, 2018

MIPS Questions and Answers: Part 3

The Merit-Based Incentive Payment System (MIPS) in 2019 will now include physical therapists, occupational therapists and speech-language pathologists that treat Medicare beneficiaries in the private practice setting. The simplest way to know if you are a private practice under the Medicare program is that you submit claims to your Medicare Administrative Contractor on a 1500-claim…
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Monday, December 10, 2018

MIPS Questions and Answers: Part 2

The Merit-Based Incentive Payment System (MIPS) in 2019 will now include physical therapists, occupational therapists and speech-language pathologists that treat Medicare beneficiaries in the private practice setting. The simplest way to know if you are a private practice under the Medicare program is that you submit claims to your Medicare Administrative Contractor on a 1500-claim…
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Monday, December 3, 2018

MIPS Questions and Answers: Part 1

The Merit-Based Incentive Payment System (MIPS) in 2019 will now include physical therapists, occupational therapists and speech-language pathologists that treat Medicare beneficiaries in the private practice setting. The simplest way to know if you are a private practice under the Medicare program is that you submit claims to your Medicare Administrative Contractor on a 1500-claim…
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Monday, November 26, 2018

Dry Needling CPT Codes Coming in 2020

During the weekend of September 28, 2018, the CPT Editorial Panel held their meeting where the American Physical Therapy Association, in collaboration with the Chiropractic Association, submitted an application for the addition of 2 CPT codes for dry needling/trigger point acupuncture. The CPT Editorial Panel did accept the addition of codes

Monday, November 26, 2018

Patient Driven Payment Model for SNFs

Beginning on October 1, 2019, the Centers for Medicare and Medicaid Service (CMS) will begin using the Patient Driven Payment Model (PDPM) for classifying skilled nursing facility patients in a covered Part A stay. CMS has created a website with information for providers to prepare and learn for this important payment change effective October 1,…
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Monday, November 19, 2018

Students Treating in the IRF Setting

Last week, the Centers for Medicare and Medicaid Services (CMS) held a conference call on the Inpatient Rehabilitation Facility (IRF) Payment and Coverage Policies. During the phone call, the presenter stated that according to hospital conditions of participation that IRFs must meet, students do not have a role in providing therapy or therapy minutes to…
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Monday, November 19, 2018

TRICARE Update for 2019

On December 12, 2017, President Trump signed the National Defense Authorization Act (NDAA) into law. One important piece of legislation included in the NDAA directs the Department of Defense (DOD) to add physical therapist assistants (PTAs) and occupational therapy assistants (OTAs) to the TRICARE program as an eligible provider of therapy services. So, does this…
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Monday, November 19, 2018

Do Physicians Need to Sign Discharge Reports

A question I have been receiving lately is must a physician sign a therapists discharge report for Medicare beneficiaries receiving outpatient therapy services? In addition, must a physician sign a therapists discharge report for patients who have a commercial insurance or are being seen under workers compensation? The answer for Medicare Part B outpatient therapy…
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