Clik here to view.
2016 PQRS Measures for Occupational Therapy
There is no change in 2016 PQRS measures reporting for occupational therapy for claims based reporting. As the new year begins occupational therapists, much like physical therapists, may find...
View ArticleClik here to view.
Exceeding the Therapy Cap
The Medicare therapy cap was initiated with the Balanced Budget Act of 1997 (BBA). What? Yes, this year marks the 20th year of therapy cap legislation as well as the 20th year of the therapy...
View ArticleClik here to view.
Charging for a Therapy No Show
Do you every have a therapy patient no show at your outpatient clinic? The patient that is schedule for an initial evaluation, or a follow up visit? For a new evaluation you have likely blocked off the...
View ArticleClik here to view.
Therapy TPE Audits Continue
Medicare Administrative Contractors (MAC) have quietly been reviewing therapy providers under the Targeted Probe and Education (TPE) program. The results of the reviews are posted by contracts, and...
View ArticleClik here to view.
Response to Investigators Knocking on Your Door
Do you know what to do when an investigator or federal agent knocks on your door? Do your staff know what to do? Is this a routine visit from the Medicare Site Visit Validation Contractor, the FBI,...
View ArticleClik here to view.
Who Can Establish a Plan of Care?
Outpatient therapy services furnished to a Medicare beneficiary by a therapy provider are payable only when furnished in accordance with certain conditions. Among the Conditions is the requirement that...
View ArticleClik here to view.
Aquatic Therapy Physical Therapy Compliance
Physical Therapists often look to the benefits of Aquatic Therapy (CPT® 97113) when implementing a Plan of Care. Medicare, as well as other Payers, have specific policies that dictate payment and...
View ArticleClik here to view.
Aquatic Therapy Compliance Community Pools
CMS allows therapy services to be furnished in a community pool by a clinician in a physical therapist or occupational therapist private practice, physician office, outpatient hospital, or outpatient...
View ArticleClik here to view.
CMS Resumes Therapy Audits
CMS suspended most audit activity this spring as a result of the Public Health Emergency (PHE). As the summer comes to an end, yet the PHE continues, CMS is signaling that it is getting back to the...
View ArticleClik here to view.
Telehealth and HIPAA
HIPAA has not been suspended, despite grapevine rumors to the contrary, during the Public Health Emergency. The Office for Civil Rights announced a Notification of Enforcement Discretion for...
View Article