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”