Jul 29, 2021 |
Beginning August 17, 2020, CMS directed the MACs to resume fee-for-service medical review activities beginning with post payment reviews of items/services provided before March 1, 2020. Items and services are selected based upon high error rates and/or potential...
May 25, 2021 |
On May 16, 2021 the CDC released their latest guidelines regarding COVID-19 mask requirements. In addition to these guidelines, please remember to follow your State guidelines as well. You may access the complete notice HERE. If you are fully vaccinated, you...
Apr 20, 2021 |
On April 15, 2021, Xavier Becerra, Secretary of Health and Human Services, renewed the Public Health Emergency (PHE) due to COVID-19. The PHE will now end at the end of the day on July 19, 2021. This extension will also extend approval of outpatient telehealth for...
Apr 19, 2021 |
This legislation was introduced during the last session of Congress; an amended version of the bill was signed into law on Dec. 27, 2020. The No Surprises Act establishes federal standards to protect patients from balance billing during emergency services for...
Apr 19, 2021 |
The Physical Therapy Compact is an agreement between member states to improve access to physical therapy services for the public by increasing the mobility of eligible physical therapy providers to work in multiple states. The Physical Therapy Compact Commission is...
Apr 19, 2021 |
By Delegates Westfall, Summers, Jennings, Tully, Bates and L. Pack [Introduced March 03, 2021; Referred to the Committee on Health and Human Resources] A BILL to amend and reenact §30-3F-1, §30-3F-2, and §30-3F-3 of the Code of West Virginia, 1931, as amended,...
Apr 19, 2021 |
The Coronavirus Aid, Relief, and Economic Security (CARES) Act suspended the sequestration payment adjustment percentage of 2% applied to all Medicare Fee-for-Service (FFS) claims from May 1 through December 31, 2020. The Consolidated Appropriations Act, 2021,...
Apr 19, 2021 |
Informed consent is an essential aspect of ethical patient care. But what does the term really mean in practical terms? And what are physical therapists’ and physical therapist assistants’ obligations for obtaining informed consent from patients? This...
Apr 19, 2021 |
Temporary Claims Hold Pending Congressional Action to Extend 2% Sequester Reduction Suspension In anticipation of possible Congressional action to extend the 2% sequester reduction suspension, we instructed the Medicare Administrative Contractors (MACs) to hold all...
Apr 19, 2021 |
Time is up on the moratorium on recoupment for funds received through the Accelerated & Advance Payment program Did you take advantage of the U.S. Center for Medicare & Medicaid Services’ COVID-19 Accelerated & Advance Payment program? CMS says it’s...
Apr 19, 2021 |
In response to feedback from health care professionals, Optum Pay now includes additional payment information that you can access at no cost. Specifically: Detailed remittance information (downloadable PDFs), as well as access to 835 files for each payment processed...
Apr 19, 2021 |
Notification of Service Specific Post Payment Review for Physical Therapy/Occupational Therapy: CPT Codes 97110, 97112, 97140, 97530 Beginning August 17, 2020, CMS directed the MACs to resume fee-for-service medical review activities beginning with post payment...
Jan 6, 2021 |
Tuesday January 19 at Noon Be sure to register to learn more about this new member benefit program you are invited to join. This program will be conducted in confidential small groups. Please join us to learn valuable tips to grow your...
Jan 6, 2021 |
MIPS Eligible Clinicians Can Start Submitting Data for 2020 through March 31 CMS has opened the data submission period for Merit-based Incentive Payment System (MIPS) eligible clinicians who participated in the 2020 performance year of the Quality Payment Program...
Jan 6, 2021 |
Therapy Assistants Furnishing Maintenance Therapy In the CY 2021 PFS final rule, CMS finalized the Part B policy for maintenance therapy services that was adopted on an interim basis for the PHE in the May 1, 2020 COVID-19 IFC (85 FR 27556). This finalized policy...
