Category Archives: Current News

Monday, August 13, 2018

Which CPT Codes Require Direct One-on-One Contact

In July, I wrote and published an article “Can I Double Book or Overlap Medicare Patients“. In that article, I explained the definition of “requires direct one-on-one patient contact” and how to do the proper billing when treating 2 or more patients during the same time period, whether Medicare or non-Medicare. In this article, I…
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Monday, August 6, 2018

What Has to Be on a Physician Order

I am often asked what items must be on a physician order for a patient referred to outpatient physical, occupational and/or speech therapy services. Can a physician or other qualified practitioner just write “Evaluate and Treat”? Must the physician or practitioner list a frequency and duration on the order? As you can imagine, the answer…
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Sunday, July 29, 2018

Are Patient Sign-In Sheets a HIPAA Violation

A question I have been receiving lately involves patient sign-in sheets and are these sign-in sheets a Health Insurance Portability and Accountability Act (HIPAA) violation? To answer this question, I will quote the Centers for Medicare and Medicaid Services (CMS). CMS stated in 2002 that covered entities, such as physician’s offices (this would also include…
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Sunday, July 29, 2018

Does HIPAA Apply to Me?

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) covers both individuals and organizations. These organizations and individuals are often called HIPAA-covered entities. Covered entities who must comply with Administrative Simplification national standards for sharing business and insurance-related information include: Health plans Health care clearinghouses Health care providers who exchange business and insurance-related tasks…
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Thursday, July 26, 2018

Comprehensive Error Rate Testing (CERT) Update

The Centers for Medicare and Medicaid Services (CMS) has issued an update with details on no response and insufficient documentation errors in the Comprehensive Error Rate Testing (CERT) program. The instructions tell the CERT review contractors how to handle providers who either do not respond to the additional development request (ADR) and/or send inadequate documentation…
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Monday, July 23, 2018

Medicare Locum Tenens

Are you a physical therapist who owns their own practice and wants to take some well-deserved time off and take a vacation? Do you own a physical therapist private practice and employ other physical therapists who will take vacation time or possibly, an extended amount of time off due to an illness or family emergency?…
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Thursday, July 12, 2018

CMS Releases Proposed Rule for 2019 for Therapy Services

On July 12, 2018, the Centers for Medicare and Medicaid Services (CMS) released the proposed rule: “Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2019; Medicare Shared Savings Program Requirements; Quality Payment Program; and Medicaid Promoting Interoperability Program”. This proposed rule has several proposed…
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Wednesday, July 11, 2018

WPS SNF Consolidated Billing Teleconference

Wisconsin Physician Services (WPS) will be providing a free teleconference on skilled nursing facility (SNF) consolidated billing on July 25, 2018 from 11:00AM – 12:30PM ET. For additional information and to register, click HERE.

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