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DMEPOS Prior Authorization

Medicare’s New DMEPOS Prior Authorization Requirement

December 31, 2015
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As of the beginning of 2016, CMS is starting a prior authorization process for certain DMEPOS. If you have not already heard of this new authorization requirement, you are likely to hear quite a bit about it in the next month or two.

The good news […]

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pre-op pt visits

Pre-Op PT Visits

December 9, 2015
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A number of orthopaedic groups have started seeing patients for pre-op PT visits prior to joint replacements and some other surgeries.  Some of this trend is related to the BPCI program, but also works when care is delivered on a fee for service basis.

These […]

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insurance claim form

ICD-10 7th Character Use Guidelines

October 10, 2015
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We are understandably receiving a lot of questions regarding how and when to use the ICD-10 7th character.

The ICD-1o 7th character is only required when the ICD-10 rules specifically ask for the 7th character and give you a choice as to which […]

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Lateral Ankle Sprain

Acute Lateral Ankle Sprain: A Laboratory Analysis

September 24, 2015
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Evidence-Based Practice – Issue 8-2015

Dynamic Balance Deficits 6 Months Following First-Time Acute Lateral Ankle Sprain: A Laboratory Analysis

Article.  Doherty C, et al. Dynamic Balance Deficits 6 Months Following First-Time Acute Lateral Ankle Sprain: A Laboratory analysis […]

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Medicare manual medical review

Therapy Manual Medical Review Changes for 2015

September 19, 2015
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As we get closer to the end of 2015, more of you may be treating Medicare patients who are at or above the $3,700 cap for manual medical review.

Last year, every PT or OT claim above $3,700 was subject to manual medical review […]

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Physical Therapy Continuing Education Online

Documenting the Skilled Provision of Therapeutic Exercise

August 12, 2015
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UHC and other payers are auditing claims and often denying the 2nd or 3rd unit/s of therex – particularly when the treatment plan includes use of a bicycle, which may extend to treadmills or other similar equipment.  These payers are taking the position that this is an […]

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physical therapy benchmarks

Physical Therapy Benchmarks in Orthopaedic Practices: Helpful Hints

July 27, 2015
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FOR IMMEDIATE RELEASE             Press Contact: Diana Kem  888-844-7441

PHOENIX, Ariz. –-PT Management Support Systems, a leader in physical and occupational practice management and consulting services for orthopaedic surgery groups, offers its physical therapy benchmarks findings in the July […]

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Continuing Education Courses Physical Therapy

Angular Measurement for Shoulder Internal Rotation Behind the Back

July 16, 2015
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Evidence-Based Practice – Issue 7-2015

Internal Rotation Behind-the-Back Angle:  A Reliable Angular Measurement for Shoulder Internal Rotation Behind the Back

Article.  Sraj SA. Internal Rotation Behind-the-Back Angle: A Reliable Angular Measurement for Shoulder Internal Rotation Behind […]

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continuing education courses for physical therapists

Palmetto Processing Error Causes 97140 Denials

July 11, 2015
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Palmetto Processing Error 97140 Denials to be resolved automatically.

Therapy providers whose Medicare claims are processed by Palmetto may
see some strange denials of 97140 from June 18-July 5, 2015 with explanation code 50 for lack of medical necessity. These denials were due to a […]

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Physical Therapy Coding Q and A

Q and A From ICD-10 Coding Webinar

July 6, 2015
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Sessions 1 – 3 / September 2015

The following is a list of the questions submitted by ICD-10 Coding for Physical and Occupational Therapy webinar participants with answers.

When can we begin billing ICD-10 codes?  You cannot file claims with ICD-10 […]

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