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Outpatient Therapy

Grow Your Rehab Therapy Practice Using Paid Ads and Search Engine Marketing

When done right, paid advertising and search engine marketing are amazing tools to reach new patients and grow your business. By applying several basic tactics, you can start using powerful digital advertising platforms like Google and Facebook to target specific audiences and help ensure a steady flow of business for your practice. Click to View […]

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Hospice

Five Key Stressors Hospice Professionals Face, with Guidance for Support

Hospice professionals help others face death and loss, while juggling interdisciplinary communications, quality compliance regulations and ever-evolving technologies. You are continually there for families and their dear ones who are passing away. But what about you? Get the eBook In caregiving professions, it is easy to get swept up in the needs of others and forget […]

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Leadership

Net Health’s CIO discusses diversity and how it can build a stronger organization

Diversity in the workplace is an on-going issue but it’s an issue with solutions. To build diversity, it takes forward-thinking initiatives, a reexamination of the hiring philosophy, and the support of the company’s decision-makers.  One such supporter of diversity in the workplace is Net Health’s CIO, Jason “JJ” James.  Recent social movements like Black Lives […]

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Our Culture

Tough Questions | Real Answers: Net Health’s Fireside Chat about Race

Net Health did something different recently. Nearly two hundred employees and their families gathered around their computer screens to take part in a landmark event in our company’s history – we called it a “Fireside Chat about Race”.  The purpose of this event was to have a truly open conversation about the controversial but relevant […]

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844.464.9348

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772.403.1301

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855.417.1420

Net Health U

Optima Therapy

772.403.1301

Net Health Therapy
(formerly ReDoc)

844.464.9348

Net Health Wound Care
 (formerly WoundExpert)

844.464.9348

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Regulatory Compliance

Regulatory Compliance

Worried about compliance? Since ReDoc® powered by xfit® is perfectly fitted for rehab therapy, we don’t just generically monitor regulatory changes. Instead, we watch with a keen eye towards anything that affects your medical record and coding needs. Learn about the regulatory changes that Net Health stays ahead of to help keep clients in the know and support compliance requirements.  

Functional Limitation Reporting

CMS has ended the requirements for the reporting and documentation of functional limitation G-codes and severity modifiers for outpatient therapy claims starting on January 1, 2019. While the FLR G-codes will not be reimbursable, they will be retained until 2020 to allow time for therapy providers and private insurers who use these codes to update their billing systems and policies. In ReDoc, you can choose to disable or continue to use FLR in 2019.

ICD-10-CM

Net Health keeps up with the latest ICD standards, including updating the code changes each October. Accurate ICD-10-CM code selection is required to meet medical necessity and carrier policy requirements, which are necessary for reimbursement.

Monitoring of Final Rules/Laws (Federal Register)

Keeping track of additional programs like Outpatient Prospective Payment System (OPPS) and Medicare Physician Fee Schedule (MPFS) Rules can feel overwhelming when you are also trying to treat patients and run an efficient clinic. We’ve got you in mind. Our Product Compliance Team works tirelessly to monitor these programs and provide updates to ReDoc powered by xfit to help support your clinic’s compliance with existing and ever-changing regulatory requirements that affect your EMR.

KX Modifier Threshold Amount

After two decades, a permanent end to the Medicare Therapy Cap was signed into law on February 9, 2018. Although this is great news, Medicare maintains that therapists are still required to apply the KX modifier for specified annual Medicare amounts each year.  ReDoc provides tools to monitor these amounts in order to address the KX modifier when necessary.

NCCI Edits

ReDoc supports the NCCI Edits that are applicable to modifier 59 with prompt notifications to help you avoid potential denials.

The Joint Commission

The Joint Commission standards “focus on important patient, individual, or resident care and organization functions that are essential to providing safe, high quality care.”1 We understand that complying with The Joint Commission Standards is important to our clients. That’s why ReDoc provides the tools and necessary documentation elements to comply with the requirements set forth by The Joint Commission.

MACRA and MIPS

The Merit-based Incentive Payment System (MIPS) is one of the two tracks offered under the Quality Payment Program for Medicare. As of 2019, physical therapists, occupational therapists, and speech language pathologist are considered eligible clinicians and those who bill to Medicare Part B may be required or may be able to choose to participate. Eligible Clinicians are required to participate in MIPS if they exceed all of the following three criteria over a 12-month period:

  • Bill more than $90,000 in Medicare Part B Claim Charges
  • Provide care to more than 200 Part B Beneficiaries
  • Provide more than 200 Covered Professional Services

If you meet 1-2 of the criteria, you may choose to opt-in. If you do not meet any of the criteria, you cannot participate for an incentive payment.

In 2019, two of the four MIPS categories apply to therapists: Quality (formerly known as PQRS) and Improvement Activities.

Check your QPP participation status by performance year with your NPI number by using the CMS QPP Participation Status tool here.

To learn more about:

  • The MIPS track for therapists, click here to visit the QPP website
  • How ReDoc supports your MIPS participation, contact info@nethealth.com or 800-411-6281 Option 3.

Optional PTA and OTA Modifiers

CMS finalized two new modifiers, CQ and CO, to show when more than 10% of a service was furnished by a PTA and OTA. These modifiers are optional for 2019 but will be required in 2020. In ReDoc, you can choose to voluntarily use these modifiers in 2019.

1 Facts about Joint Commission standards. (2016, March 25). Retrieved January 24, 2017, from www.jointcommission.org/facts_about_joint_commission_accreditation_standards/

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