The new conversion factor released by CMS helps to offset the impact of fee schedule reductions for PT providers.

What began as a projected 9% cut in payment to PTs under Medicare and was later reduced to an estimated 3.6% cut may be whittled down even further thanks to a recently announced change to how payment is calculated. The change comes by way of an adjustment to the conversion factor, the multiplier applied to relativeContinue reading “The new conversion factor released by CMS helps to offset the impact of fee schedule reductions for PT providers.”

Update on the Proposed 9% CMS Reimbursement Cut

Because of your work, Congress reduced the cut from 9% to an estimated 3.6%.  The fight continues and we are immensely grateful for the over 120,000 emails to Congress, taking every opportunity to raise your voice with legislators, and sending over 25,000 comments to CMS.  This campaign has been enormous and we are appreciative of yourContinue reading “Update on the Proposed 9% CMS Reimbursement Cut”

Win: CMS Will Lift Several Code Pairing Restrictions

After an on-again, off-again approach to rules affecting the billing of code pairs that represent common, appropriate physical therapy practice, the U.S. Centers for Medicare & Medicaid Services has announced it will accept many of the pairs it had barred for use, or required to be accompanied a modifier if they were used on theContinue reading “Win: CMS Will Lift Several Code Pairing Restrictions”

New Legislation Targets Medicare Payment Cuts

A bipartisan effort to avoid proposed cuts to Medicare payments in 2021 has been launched: On Oct. 30, Reps. Ami Bera, MD, D-Calif., and Larry Bucshon, MD, R-Ind., introduced legislation in the U.S. House of Representatives that would add funding to Medicare and direct CMS to essentially reset payment to 2020 levels for the 37Continue reading “New Legislation Targets Medicare Payment Cuts”

Department of Labor revises regulations that implemented the FFCRA paid sick leave and expanded family and medical leave provisions

Background The Families First Coronavirus Response Act (FFCRA or Act) requires certain employers (generally those who employ fewer than 500 employees) to provide employees with paid sick leave or expanded family and medical leave for specified reasons related to COVID-19. The Department of Labor’s (Department) Wage and Hour Division (WHD) administers and enforces the new law’s paid leaveContinue reading “Department of Labor revises regulations that implemented the FFCRA paid sick leave and expanded family and medical leave provisions”

APTA Answers Questions Taxes Related on CARES Act Relief Funds

APTA recently discussed the position of the IRS related to the CARES Act Provider Relief Funds. APTA stated that these funds are considered taxable income. The following is from the HHS provider relief FAQs that were just posted on July 13, 2020. May a health care provider that receives a payment from the Provider Relief FundContinue reading “APTA Answers Questions Taxes Related on CARES Act Relief Funds”

Outpatient therapy furnished via telehealth can be reported on institutional claim during COVID-19 PHE

CMS has announced that outpatient therapy furnished via telehealth can be reported on institutional claim during COVID-19 PHE in its updated coronavirus waiver FAQs. CMS has updated it’s coronavirus waivers FAQs to add a new section on outpatient therapy and telehealth. Please find below the 3 new FAQs: Question: Can outpatient therapy services that areContinue reading “Outpatient therapy furnished via telehealth can be reported on institutional claim during COVID-19 PHE”

APTA Releases Guidance on CARES Act

The American Physical Therapy Association (APTA) recently released guidance detailing known and anticipated actions as a result of the CARES Act, recently passed into law by Congress and President Trump. In addition to the $2 trillion stimulous package, the Act also created many new policies and flexibilities for PTs and PTAs. Click here to viewContinue reading “APTA Releases Guidance on CARES Act”