News & Articles

Palmetto GBA will host Ask the Contractor Teleconferences (ACTs)

Palmetto GBA will host Ask the Contractor Teleconferences (ACTs) on various topics throughout the year. Mark your calendars now so that you don’t miss a chance to learn valuable information about how Medicare guidelines affect your practice! Benefits of...

CSM Meetings – Denver CO

APTA Combined Sections Meetings are scheduled in Denver, Colorado February 12 – 15, 2020. Register HERE Future dates: CSM 2020 – Feb 24 – 27 – Orlando, Florida CSM 2022 – Feb 1 -4 - San Antonio, Texas CSM 2023 – Feb 22 – 25...

New CCI Edits!!

Effective January 1, 2020 Physical and Occupational therapy when providing an initial evaluation you cannot provide therapeutic activities (code 97530 ) and  therapeutic procedures, group, 2 or more individuals  (code 97150) during the same visit. When providing...

MIPS – Are you Required or Eligible to report?

Although you checked in December 2019, check again (and maybe again) on your status to report.  Check using each physical therapist NPI number.    Click HERE to check your status

Submit 2019 MIPS – Submission is open

PERFORMANCE YEAR 2019 Submission Window is Open You can now sign in to submit your PY 2019 data.  Data can be submitted and updated any time unit March 31, 2020, 8PM EDT when the submission window closes. You can also opt-in to participate in MIPS if you meet certain...

2016 PQRS Reporting Measures Series, Session 3: MAV and How to Get Started

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce the third session of a three-part Virtual Office Hours series regarding 2016 Physician Quality Reporting System (PQRS) quality measures. The series includes three separate sessions that cover topics related to PQRS measures, measure-specific definitions, measures-related resources, and next steps for participating in 2016 PQRS.

CMS Announces the PQRS Web-Based Measure Search Tool

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce the availability of the new Physician Quality Reporting System (PQRS) Web-Based Measure Search Tool located directly at https://pqrs.cms.gov/#/home and via the PQRS Measures Codes...

Medicare Secondary Payer (MSP) Basics Webinar

Register for the CGS J15 Part A webinar “Medicare Secondary Payer (MSP) Basics” scheduled January 14, 2016 from 10 – 11:30 am CST (9 – 10:30 am EST). This webinar is designed as a ‘BASICS’ session. New and experienced staffs may benefit from...

Authorization required for WV Molina Providers

All Molina Medicaid patients, traditional and alternative plan must be per-authorized as of October 1st. The initial evaluation does not need to be pre-authorized.  Forms can be found in the Members Section / Documents

Anthem OrthoNet Authorzations Mandatory

Effective November 1, 2015, Anthem Blue Cross and Blue Shield (Anthem) will implement a physical therapy (PT) and occupational therapy (OT) benefit management program for outpatient and office services. In order to help us effectively administer this program, we have...

SENATE TAKES HISTORIC VOTE ON THERAPY CAP REPEAL

April 14th, Senate voted to approve a permanent fix for the sustainable growth rate (SGR) by a vote of 92 to 8. The bill now heads to the President’s desk for signature.As part of consideration of the SGR bill, Senators Cardin (D-MD) and Vitter (R-LA) proposed...