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Medicare Multiple Procedure Payment Reduction (MPPR)
Medicare Reimbursement Down an Average 8% for Therapy Providers I decided to try an experiment, recently. I went to my neighborhood grocery store to buy the ingredients for French toast. After the...
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Medicare: It is About Medical Necessity
Confusion in Therapy Land There is a lot of confusion among our colleagues about how to manage a patient who is approaching the Medicare Cap or the Manual Medical Review level. Putting aside all of...
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PQRS Made Simple?
I just had the pleasure of co-presenting a webinar with Nancy Beckley called Medicare Made Simple. Our goals in the webinar were to review basic Medicare requirements and to offer our listeners some...
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Assuming Good Intentions with Medicare and Physical Therapy Treatment
In this article, written over a year ago, I indicated that I don’t believe all of the new Medicare regulations are designed with bad intent. They are all well intended programs that are complex, poorly...
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STOP THE MEDICARE THERAPY CAP NOW
This is getting serious. There is a chance that the therapy cap exceptions process will not be extended after the end of March. If this stands: Use of the KX modifier to charge for medically necessary...
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ICD-10 for Physical Therapy: Don’t Believe the Hype
The APTA Combined Sections Meeting a few weeks ago was great and Las Vegas is a great city to host it. Everything in Vegas is over the top and larger than life. It seems fitting then that some people...
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Creating a SMART Plan of Care for Physical Therapy
I am very proud of our accomplishments at Clinicient. Over the past 10 years, we have listened closely to our customers, paid attention to trends in the industry, and developed the best fully...
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Functional Limitation Reporting on Multiple Plans of Care
I feel like I start every conversation lately with, “I don’t think CMS is intentionally evil, but…” And, so it is today. I don’t think CMS is intentionally evil, but the latest developments in...
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Why EMR Implementations Fail in Physical Therapy
Implementing an EMR system has moved from a “nice to have” to a “must have”. Choosing the right system for your practice can be overwhelming, confusing and tedious. What’s worse? Having spent precious...
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Defensible Medicare Documentation Made Simple
I have written extensively about the technical requirements for Medicare Compliance, and I recently had the pleasure of co-presenting a webinar with Nancy Beckley called Medicare Made Simple. I think...
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