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”

CMS Guidance Allows PTs in Private Practice to Provide Services Via Telehealth

New guidance issued by CMS now allows PTs in private practice to make full use of telehealth with their patients under Medicare Part B. Previously, only limited e-visits and other “communication technology-based services” were allowed; the change now includes PTs among the health care providers permitted to bill for real-time face-to-face services using telehealth. This policyContinue reading “CMS Guidance Allows PTs in Private Practice to Provide Services Via Telehealth”

CMS Now Allows PTs to Perform Maintenance Therapy Under Medicare Part B

To increase the availability of needed health care services during the COVID-19 PHE, in response to suggestions by stakeholders, CMS will allow PTAs and OTAs to perform maintenance therapy services under Medicare Part B for the duration of the public health emergency. CMS states it will permit the PT or OT who established the maintenanceContinue reading “CMS Now Allows PTs to Perform Maintenance Therapy Under Medicare Part B”

Proposed IRF Rule Keeps It Simple: 2.9% Increase, Reduced Administrative Burdens

Acknowledging that the COVID-19 pandemic should be the focus of attention, CMS released a proposed rule that makes no changes to quality reporting.CMS fact sheet The big picture: A 2.9% increase and continued efforts to lessen administrative burden.In light of rapid changes being made to Medicare in response to the COVID-19 pandemic, the U.S. CentersContinue reading “Proposed IRF Rule Keeps It Simple: 2.9% Increase, Reduced Administrative Burdens”

APTA Advisory: TRICARE Manual Updated to Recognize PTAs as Authorized Providers

Don’t forget to use the CQ modifier if more than 10% of a service is furnished by a PTA. TRICARE, the health insurance system used throughout the military, announced that it has officially revised its policy manual to recognize PTAs (and occupational therapy assistants) as authorized providers, outlining the rules and requirements governing assistant qualifications, scope ofContinue reading “APTA Advisory: TRICARE Manual Updated to Recognize PTAs as Authorized Providers”

APTA Advocacy Win For CMS Coding Changes

Advocacy efforts by APTA and its members helped CMS and its coding contractor reverse earlier changes that complicated (and sometimes thwarted) a PT’s ability to provide efficient, effective care. What Happened Prior to the latest change, reimbursement would be denied if, for example, code 97530 (therapeutic activities) was paired with 97116 (therapeutic procedure) without useContinue reading “APTA Advocacy Win For CMS Coding Changes”