Blog

A Reprieve from Damaging Medicare Cuts
The legislation prevents proposed steep cuts to Medicare in 2021

The legislation prevents proposed steep cuts to Medicare in 2021 by providing a one-time exemption from budget neutrality rules. That’s important, because CMS is citing those constraints as the reason it’s planning on cutting payment for more than three dozen professions to offset the cost of increases to the office/outpatient Evaluation and Management codes, known […]

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CMS Announces Resumption of Routine Inspections/Surveys
CMS announces that it has resumed surveys and inspections of all providers

CMS announced that it resumed surveys and inspections of all providers and suppliers on August 17, 2020. CMS had previously suspended certain routine inspections as part of its response to the coronavirus disease 2019 (COVID-19) pandemic to prioritize infection control and immediate jeopardy situations and to give health care providers and suppliers time needed to […]

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CMS Announces New Value-Based Payment Model For Rural Healthcare Providers
Rural providers can pursue care transformation, such as expanding telehealth to allow the beneficiary's place of residence to be an originating site.

  The Centers for Medicare and Medicaid Services today announced a new value-based payment model for rural healthcare providers. The Community Health Access and Rural Transformation (CHART) Model ties payment to value, increases choice and lowers costs for patients, CMS said. CHART will provide support through new seed funding and payment structures, operational and regulatory flexibilities […]

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Medicare Physician Fee Schedule Proposed Rules – Federal Register

We have received a number of questions regarding which benefit categories HCPCS codes G2061 through G2063 fall under. In the March 31st COVID-19 IFC (85 FR 19244-19245) we established on an interim basis for the duration of the PHE for the COVID-19 pandemic that these services could be billed for example, by licensed clinical social […]

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HIPAA/HITECH Rules Still Apply for Physical Therapy Clinics

The Office of Civil Rights (OCR) recently handed out a $1.O4M penalty to Lifespan for a stolen laptop that was unencrypted. In this instance an employee had a work laptop stolen out of their car. Key violations that incurred the penalties included the following: Failure to implement policies and procedures to encrypt PHI Failure to […]

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Support for Private Physical Therapy Practices During COVID-19

During this uncertain time, Business & Clinical Management Services (BCMS) is here to support private physical therapy practices during COVID-19. The Department of Health and Human Services The Department of Health and Human Services has designated them members of the Essential Critical Infrastructure Workforce (https://www.cisa.gov/publication/guidance-essential-critical-infrastructure-workforce).  We feel it is our professional duty to share information […]

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HR Related Decisions for Physical Therapy Owners During COVID-19

We know it has been challenging to navigate all the staffing and HR related decisions for physical therapy owners during the COVID-19 pandemic.  The information below is designed to explain options and enhance your decision-making process.  The data is current as of Wednesday, March 25th, 2020, 2:00 pm CST. Families First Coronavirus Response Act (FFCRA) […]

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2020 Physician Fee Schedule Proposed by CMS – Call To Action

As promised, we have reviewed the 2020 Physician Fee Schedule proposed by CMS. There are many complexities that we must study before we can give you all of the details. In the meantime, please consider reviewing the items (via links) listed below so you can have the information readily available. It is critical that you […]

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Direct Access in Texas for Physical Therapy

The wait for Direct Access in Texas for physical therapy is nearly over (this means treatment with out referral)!  The Texas Board of Physical Therapy Examiners has approved a draft of the proposed Rules that will govern the new provisions for Direct Access in the Practice Act. These Rules are the vehicle that give Direct […]

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