Physical Therapy Business Consulting Blog | Occupational Therapy Aide

NC Medicaid Simplifies Authorization of Therapy for Adults

October 11, 2018
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NC Medicaid Simplifies Authorization of Therapy for Adults

North Carolina Medicaid has recently simplified its PT/OT authorization rules for patients who are 21 and older. https://files.nc.gov/ncdma/documents/files/10-A_3.pdf All of the prior rules limiting the number of visits […]

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Appropriate Use and Documentation of Therapeutic Activities (97530)

August 30, 2018
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Documentation

The following discussion is intended to help PT/OT providers choose when using 97530 is appropriate with documentation examples.
The CPT definition of 97530 is “[t]herapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes […]

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Questions and Answers from Webinar on Keys to Improving Your Documentation of Skilled Care by Writing Better Goals and Using Standardized Tests

August 3, 2018
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Which standardized tests are recommended for patients who are non-ambulatory?

The standardized assessment should support the treatment plan and demonstrate achievement of the goals. Listed below are standardized tests that can be used for low level functioning patients.

Sitting Balance Scale – This test assesses the […]

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OIG Reports that Many Medicare PT Claims Did Not Comply With Medicare Requirements

April 2, 2018
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The U. S. Office of Inspector General just released a report on Medicare PT claims. (Link to OIG Report) The purpose of the OIG’s review was to determine the extent of PT claims that do not comply with Medicare requirements. This review covered claims from July 1 […]

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PT/OT Skilled Therapeutic Exercise Documentation Examples

March 21, 2018
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The two most important PT/OT documentation requirements are demonstrating that care is (1) medically necessary and (2) skilled.

Care is regarded as “skilled” only if it is at a level of complexity and sophistication that requires the services of a therapist or an assistant supervised by a […]

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Medicare Cap

North Carolina Medicaid Therapy Visit Limits for 2018, Medicare Cap

December 26, 2017
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North Carolina Medicaid Therapy Visit Limits for 2018

The following is an update on NC Medicaid therapy visit limitations for patients over 20 years old. These limits are from DMA Clinical Coverage Policy No: 10A (amended 12/15/2017). Medicare Cap

Medicaid patients who are over […]

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Continuing Education Courses Physical Therapy

TRICARE TO PAY FOR PTAs and COTAs

December 13, 2017
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TRICARE TO PAY FOR PTAs and COTAs

PTAs and COTAs will soon be able to treat Tricare patients.

A new law has been enacted instructing the Department of Defense to add PTAs and COTAs to its list of permitted providers. Please note that this […]

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Training Codes-2018 Changes

Orthotics Management and Training Codes-2018 Changes to 97760, 97761, 97762

November 20, 2017
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Orthotics Management and Training Code Changes

The following changes to the orthotic and prosthetic management codes will be effective as of January 1, 2018:

• Both 97760 and 97761 are revised so that they can only be used for the initial encounter. The new descriptions […]

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Physical Therapy Continuing Education

PT INITIAL EVALUATIONS: FOCUS ON CLINICAL PRESENTATION

October 4, 2017
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Please opt-in using your email address to download this content via PT Management. You should receive an email confirmation with details to retrieve this download […]

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Functional Limitations Reporting FAQ

September 25, 2017
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Please opt-in using your email address to download this content via PT Management. You should receive an email confirmation with details to retrieve this download […]

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