Compliance

mips reporting image

MIPS Reporting Not Required in 2017 and 2018

May 23, 2016
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Physical and Occupational Therapists do not need to report for MIPS in 2017 and 2018.

Beginning January 1, 2017, CMS is replacing PQRS with the Merit-Based Incentive Payment System (MIPS).  MIPS is intended to be a more flexible and comprehensive quality reporting system that also […]

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DMEPOS Prior Authorization

Medicare’s New DMEPOS Prior Authorization Requirement

December 31, 2015
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As of the beginning of 2016, CMS is starting a prior authorization process for certain DMEPOS. If you have not already heard of this new authorization requirement, you are likely to hear quite a bit about it in the next month or two.

The good news […]

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Physical Therapy Assessment image

Can PT/OT Clinic Accept Referrals from Outside Physicians?

April 22, 2015
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Many orthopaedic groups are under the incorrect assumption that their physical and occupational therapists cannot accept referrals from outside physicians or that there is a limit on the percentage of patients that can come from outside referrals.

Your PT/OT clinic can accept referrals, including referrals of Medicare […]

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physical therapy and medicare

PT/OT Use of Advanced Beneficiary Notice of Noncoverage (ABN)

April 3, 2015
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The following is an explanation of when you can and cannot use an Advanced Beneficiary Notice of Noncoverage (ABN) for outpatient physical and occupational therapy patients.¹

Therapists are required to issue an ABN to Medicare patients prior to providing therapy that is not medically necessary.

For […]

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