Compliance

When to Charge for a PT/OT Re-evaluation

December 7, 2020
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We often receive questioned as to when a re-evaluation is necessary (and billable). Therapists are understandably uncertain as to when a re-evaluation can be billed because of conflicting terminology and confusion with “reassessment” requirements in PT and OT Acts.

To determine if and when a re […]

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GETTING PAID FOR PT/OT TELEHEALTH AND E-VISITS

April 7, 2020
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Questions and Answers

The following are questions
submitted in connection with the April 2 webinar titled “Getting Paid for PT/OT
Telehealth and E-Visits” with answers.

I am at a hospital-based outpatient therapy
clinic at a critical access hospital. Is there […]

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MEDICARE WILL PAY FOR E-VISITS BY PHYSICAL AND OCCUPATIONAL THERAPISTS

March 18, 2020
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March 2020

On
March 17, 2020, CMS issued guidance stating that Medicare will pay for PT/OT
e-visits. (This CMS guidance can be found at https://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet.)

This
CMS guidance explains that there […]

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WEBINAR: NEW PT/OT EVALUATION CODES: MAKING AND DOCUMENTING YOUR CHOICES

November 16, 2016
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Therapists will be required to start using new initial evaluation and re-evaluation codes on January 1, 2017.  This webinar will provide you with the fundamental information you need to start using these new codes, including:

A detailed explanation of the three new initial evaluation codes for PT […]

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Physical Therapy Continuing Education Courses

MIPS Reporting Not Required in 2017 and 2018

May 23, 2016
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Physical and Occupational Therapists do not need to report for MIPS in 2017 and 2018.

Beginning January 1, 2017, CMS is replacing PQRS with the Merit-Based Incentive Payment System (MIPS).  MIPS is intended to be a more flexible and comprehensive quality reporting system that also […]

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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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vasopneumatic devices

Documentation and Payment for Vasopneumatic Devices

May 19, 2015
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Vasopneumatic devices, such as the Game Ready, that provide a combination of cryo and compression therapies have become increasingly popular for use in outpatient orthopaedic and sports medicine facilities following injury or  orthopaedic surgery.

While these devices can provide a convenient and efficient means of delivering […]

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Continuing Education For Occupational Therapists

Hamstrings Co-Contraction for Anterior Cruciate Ligament Injury Prevention

May 13, 2015
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Evidence-Based Practice – Issue 5-2015

Unstable Surface Improves Quadriceps:  Hamstrings Co-Contraction for Anterior Cruciate Ligament Injury Prevention Strategies

Article.  Shultz R., et al. Unstable Surface Improves Quadriceps: Hamstrings Co-Contraction for Anterior Cruciate Ligament Injury Prevention Strategies.  Sports […]

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Continuing Education Physical Therapy

Can PT/OT Clinic Accept Referrals from Outside Physicians?

April 22, 2015
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Many orthopaedic groups are under the incorrect assumption that their physical and occupational therapists cannot accept referrals from outside physicians or that there is a limit on the percentage of patients that can come from outside referrals.

Your PT/OT clinic can accept referrals, including referrals of Medicare […]

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physical therapy and medicare

PT/OT Use of Advanced Beneficiary Notice of Noncoverage (ABN)

April 3, 2015
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The following is an explanation of when you can and cannot use an Advanced Beneficiary Notice of Noncoverage (ABN) for outpatient physical and occupational therapy patients.¹

Therapists are required to issue an ABN to Medicare patients prior to providing therapy that is not medically necessary.

For […]

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