What You Need to Know to Avoid Medicare 8-Minute Rule Mistakes

What You Need to Know to Avoid Medicare 8-Minute Rule Mistakes

n it comes to coding and billing guidelines for Medicare, the instructions are quite specific. From service-based billing codes to time-based billing codes — and the anticipated Medicare 8-Minute Rule (or 8 min rule) — proper documentation is crucial to receive payment from Medicare for direct treatment. Unfortunately, most practice management software does not account for the…

The Ultimate Strategy Guide for Effective Compliance Risk Management

The Ultimate Strategy Guide for Effective Compliance Risk Management

In the complex and highly regulated healthcare landscape, compliance risk management plays a crucial role in ensuring patient safety, protecting sensitive information, and mitigating legal and financial risks. Healthcare organizations must develop robust strategies to effectively implement compliance risk management practices. What is Compliance Risk Management? Compliance risk management in healthcare involves identifying, assessing, and…

New Legislation Seeks to Expand Locum Tenens

New Legislation Seeks to Expand Locum Tenens

Reach out to your representative and senators If you are out of your clinic for continuing education, illness, jury duty, family obligations, or a vacation, does your clinic have enough Medicare credentialed physical therapists to be able to rearrange schedules so that all of your Medicare patients are able to be seen without delay? If…

​Pursuing physical therapists’ nationwide use of locum tenens

​Pursuing physical therapists’ nationwide use of locum tenens

Since 2017, physical therapists whose outpatient clinics are located in rural, medically underserved, and health professional shortage areas have been able to hire a qualified substitute provider (aka a locum tenens) on a short-term basis.1 Currently the locum tenens program in Medicare allows these physical therapists and a discreet list of physician types to hire…

Improving Seniors’ Timely Access to Care Act (S.3018/H.R.3173)

Improving Seniors’ Timely Access to Care Act (S.3018/H.R.3173)

Medicare Advantage (MA) plans are able to require providers to obtain prior authorization for certain medical treatments or tests—including physical therapy care—before they can provide care to their patients.  As evidenced by two reports from the Department of Health & Human Services’ (HHS) Office of the Inspector General (OIG)—in 2018 and one this past spring—it…

Are You a Wound Care Provider at a SNF, LTC or Private Practice? Don’t be Left in the Dark about MACRA, MIPS and More

Are You a Wound Care Provider at a SNF, LTC or Private Practice? Don’t be Left in the Dark about MACRA, MIPS and More

At night, do you dream about PDPM, MACRA, MIPS and all the regulations that must be met in today’s heavily regulated health care environment? Does the jumble of acronyms and abbreviations have you confused? If so, you are certainly not alone and the confusion is understandable.  But knowledge can provide peace of mind, and knowledge…

Complying with CURES: What Wound Care Providers Need to Know Now

Complying with CURES: What Wound Care Providers Need to Know Now

October is here. That doesn’t just mean Fall colors; Halloween and pumpkin spice lattes are back.  What that means for health care providers who are using electronic health record systems (EHRs) – including those in wound care – is that they will need to ensure their EHRs are compatible with the 21st Century Cures Act…

Coping With Expiration of COVID Public Health Emergency: What Will it Look Like?

Coping With Expiration of COVID Public Health Emergency: What Will it Look Like?

On July 15, 2022, the U.S Secretary of Health and Human Services renewed the public health emergency (PHE) posed by COVID.1 These last-minute renewals have given healthcare workers and managers more resources to treat COVID patients, offering a range of expanded healthcare options and flexibility on everything from telehealth rules to Medicaid access.2 It is…