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Medicare therapy cap

Medicare Therapy Caps and Manual Medical Review for 2016

March 23, 2016
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Blog

Introduction

This article addresses the 2016 Medicare Therapy caps for outpatient physical, occupational and speech therapy, together with the cap exceptions, manual medical review process and proper use of ABNs in connection with the caps.

For 2016, the therapy cap for occupational therapy (OT […]

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Continuing Education For Physical Therapists

Effects of Manual Therapy in Addition to Exercise Therapy for Knee Osteoarthritis

February 24, 2016
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Blog, Evidence-Based Practice, Knee

Evidence-Based Practice – Issue 1-2016

The incremental effects of manual therapy or booster session in addition to exercise therapy for knee osteoarthritis: a randomized clinical trial

Article.  Abbott JH, et al., “The Incremental Effects of Manual Therapy or Booster […]

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DMEPOS Prior Authorization

Medicare’s New DMEPOS Prior Authorization Requirement

December 31, 2015
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Billing, Blog, Compliance

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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Billing, Blog, Finance, Operations

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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Billing, Blog, Coding

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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Blog, Evidence-Based Practice, Feet, Legs

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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Billing, Blog

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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Blog, Documentation

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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Blog, Operations

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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Blog, Evidence-Based Practice, Shoulder

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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