News & Articles

OPTA Introduces HB 547 – Fair Co-pay Legislation

March 10, 2020. Rep. Jeff LaRe (R-77) introduced legislation that would create co-pay parity for physical and occupational therapy services. Currently, insurance carriers classify PTs and OTs as “specialists” and patients are often subjected to higher co-pays than...

CMS Repeals crucial edits

APTA and its members engaged in extensive advocacy efforts to convince CMS to rethink its decision. On January 24, CMS announced that it would do away with the most problematic changes and, for the most part, return to the coding rules PTs used in 2019. What it means:...

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 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

Upcoming Events

  1. Telehealth Q & A

    March 31 @ 8:00 pm - 9:00 pm
  2. MARN Fall Meeting – October 9, 2020

    October 9 @ 8:30 am - 3:00 pm