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Dr. Amy Schiffman and Dr. Alex Mohseni talk with the team from Fox Rehab (https://www.foxrehab.org/) about physical therapy, occupational therapy and speech pathology and uncover all the hidden issues, challenges, and secrets of this huge industry. If you are a senior-serving professional or medical provider who orders PT, OT or Speech services for your clients, you need to listen to this episode. Alex and Amy cover the following topics: Speech Therapy vs Speech Language Pathologist In-home PT, OT and speech therapy for geriatric patients Part A rehab vs Part B rehab When and why do you flip from Part A therapy/rehab to Part B rehab? How do you continue to qualify for Part A therapy? Who decides whether a patient has reached their therapy goal - the ordering provider or therapist? What does a physical therapist do? What does an occupational therapist do? What does a speech therapist do? PT vs OT vs Speech Functional independence Activities of daily living What does Medicare pay for with Part B PT, OT and Speech Therapy Two requirements for Medicare to pay for Part B rehab: medical necessity and skilled need The Therapy Cap for PT and Speech Part B works on a calendar year basis How to get an exception to the Therapy Cap for PT, OT and Speech Pathology Coding and billing PT, OT and SLP encounter CPT codes What is a low-tech augmentative communication device? What is the common work file in Medicare rehab? How often does a physical therapist usually go to a person's home? What is the patient responsibility or copy for Medicare Part B rehab and physical therapy? Part B rehab is not home health Which types of providers refer to Part B rehab the most? Most common reasons for referral for Part B Rehab all revolve around falls: gait, balance, and weakness Do not have to be homebound for Part B rehab in the home Common mistakes when referring to rehab How to write an order for PT, OT, or speech and what CPT codes to include Part B rehab does medication reconciliation How to order DME What is a 3-in-1 commode How long does it take to get a hospital bed paid for by Medicare FoxRehab.org
Therapy Insiders Podcast -->>Physical therapy, business and leaders
It's been a 40 year process for physical therapy and FINALLY the Therapy Cap is NO MORE. What is the history of the Therapy Cap? More importantly what is the future of physical therapy now that the cap is repealed? What will we focus our collective resources on in order to grow? Listen to APTA CEO Justin Moore: breakdown the history of the therapy cap explain the timeline discuss a vision for future physical therapy lobbying
In this episode, we will be focusing on the recent repeal of the Medicare Therapy Cap, as well as some workable solutions for how to succeed in the future of physical therapy private practice under the new payment model.
It’s Monday, February 19th, and here are your PT headlines for the week. It’s the week of CSM, and we’ve got coverage coming to you from New Orleans. The licensure compact gets the go-ahead in Colorado, dry needling moves forward in two states, the Americans with Disabilities Act could be facing modifications, and there is a potential legal fight brewing over the recent admissions changes to Fellowships. Finally, we spoke to APTA CEO Justin Moore to discuss the Therapy Cap repeal, PTA Reimbursement changes, and our advocacy moving forward. Talus Media News is a subsidiary of Talus Media: PT Views & PT News. You can find all interviews mentioned in this newscast on our sister channel, Talus Media Talks. Check us out on Twitter & Facebook @TalusMedia, and head to our website at talusmedia.org for more information.
I had the opportunity to sit down with Justin Moore to discuss life after the Therapy Cap (I get to archive the audio folder I have marked "Therapy Cap"--bittersweet?) Now that the therapy cap has been repealed, the APTA can shift to other legislation and taking on the home front. But we had some specific questions on the repeal. Talus Media Talks is a subsidiary of Talus Media: PT Views & PT News. You can find physical therapy news on our sister channel, Talus Media News. Check us out on Twitter & Facebook @TalusMedia, and head to our website at talusmedia.org for more information.
It’s Monday, February 12th, and we have a lot of PT news for you! The most recent government funding bill repealed the therapy cap, but had some unwelcome surprises for therapy providers. The House of Delegates is looking for volunteer ushers, and Florida moves to add dry needling to their practice act. Finally, Rachel Jermann spoke with Joe Reinke of FITBUX to further demystify your student loan questions. Let’s dive right in! Talus Media News is a subsidiary of Talus Media: PT Views & PT News. You can find all interviews mentioned in this newscast on our sister channel, Talus Media Talks. Check us out on Twitter & Facebook @TalusMedia, and head to our website at talusmedia.org for more information.
The Therapy cap is GONE! Get the scoop on the cap from APTA CEO Justin Moore. Jimmy also talked about the record-setting 16,000+ PT's headed to CSM this year in New Orleans, the Team Gleason party we're throwing, and the "beyond opioid" Facebook live and PSA that the APTA released this week.
Ky Pak shares with is what the PT-PAC actually is & does. http://PTPAC.org Medicare Therapy Cap - http://www.apta.org/FederalIssues/TherapyCap/ Loneliness and Health in Older Adults: A Mini-Review and Synthesis https://www.karger.com/Article/Abstract/441651
It’s Monday, February 5th, and we’re gearing up for a government funding vote that could decide the fate of the therapy cap. We’ve got some updates today on the APTA House of Delegates and the World Congress of Physical Therapy symposium. We review some heavyweight supporters of Therapy Cap repeal, and overview a study that examines the cost effectiveness of PT for LBP. Also, guest correspondent Ashley Alagna sits down with Shirley Sahrmann to discuss PT branding. Talus Media News is a subsidiary of Talus Media: PT Views & PT News. You can find all interviews mentioned in this newscast on our sister channel, Talus Media Talks. Check us out on Twitter & Facebook @TalusMedia, and head to our website at talusmedia.org for more information.
Got Medicare patients? We're taking an in depth look at the Medicare Therapy Cap and the Medicare Access to Rehabilitation Services Act of 2017. We sit down with Justin Elliott, Vice President of Government Affairs for the American Physical Therapy Association to answer the following questions: It's the 20 year anniversary of the cap--what has the repeal process looked like? The amendment to repeal the cap failed by 2 votes in 2015. What are our chances this year? What can we do to help push this through? Physical and speech therapies are lumped together under the same cap. Is it true that this is due to a missing oxford comma? Talus Media Talks is a subsidiary of Talus Media: PT Views & PT News. You can find physical therapy news on our sister channel, Talus Media News. Check us out on Twitter & Facebook @TalusMedia, and head to our website at talusmedia.org for more information.
In this Monday, July 31 episode of Talus Media News, we’ve got your section updates--we update you on what’s happening across private practice, HPA, oncology, and more. We had a big week in healthcare. We talk the latest developments on the healthcare bill and why it matters to PT. Then we take on the Therapy Cap with Justin Elliott from the American Physical Therapy Association. Talus Media News is a subsidiary of Talus Media: PT Views & PT News. You can find all interviews mentioned in this newscast on our sister channel, Talus Media Talks. Check us out on Twitter & Facebook @TalusMedia, and head to our website at talusmedia.org for more information.
In this Monday, July 24th episode of Talus Media News, we're covering the latest developments in healthcare. The BCRA is out...or is it? What's the deal with repeal only? The Medicare Cap repeal legislation is in the House. We bring you the latest on this legislation that lost by 2 votes in 2015. We talk state legal battles with correspondent John LaRue, the latest in clinical practice guidelines, and nutrition with correspondent Emma Lam. Check out the full follow up to this episode, including links to more information at talusmedia.org. Talus Media News is a subsidiary of Talus Media: PT Views & PT News. You can find all the links and further information mentioned in this episode on our website, talusmedia.org. Explore our sister channel, Talus Media Talks, available on iTunes or in your podcast app, for in-depth interviews on the biggest issues in physical therapy. Follow us on Twitter & Facebook at Talus Media.
Click here to download this episode If you are interested in creating cash-based revenue for your physical therapy practice, but confused about the laws on taking self-payment from Medicare beneficiaries, then this episode is for you. Whether you are a: veteran practice owner who participates with Medicare, hybrid practice owner with Non-Participating status, cash-based practice owner not enrolled in Medicare, physical therapist hoping to become any of the above, … very few seem to know when and if they can take private-payment from Medicare beneficiaries. The answer to this question actually changes depending a large number of factors, and they are all explained in this episode. In this episode I read the first 22 pages of the Medicare and Cash-Pay Physical Therapy ebook and you will learn: The 3 possible relationships a physical therapist can have with Medicare and how this affects every decision you make surrounding this topic. How being a "Non-Participating Provider" is Not the same thing as "Opting Out" of Medicare. Why being a "Non-Participating Provider" is Not the same thing as having no relationship with Medicare. Why being non-enrolled or un-enrolling in Medicare is also Not the same thing as "opting out" of Medicare. The "Mandatory Claims Submission" law and how it affects your ability to provide cash-pay services to Medicare beneficiaries. The ONE exception the Mandatory Claims Submission law and how this exception can significantly change your ability to take self-payment from a beneficiary. How your specific relationship with Medicare dictates when/if you are able to provide covered services on a self-pay basis. The 3 reasons that services are not covered by Medicare. The scenarios in which covered services may become non-covered. How meeting the Therapy Cap may or may not change our ability to collect self-payment from that beneficiary, and the process that should be followed in doing so. The key factors you must know to determine when you can take cash-payment for "Maintenance Care"… sometimes you can and sometimes you cannot. How the 2009 HITECH Act and the 2013 HIPAA Omnibus Final Rule may or may not have created opportunities to treat beneficiaries on a cash-pay basis. When you should use an Advanced Beneficiary Notice (ABN) versus a Private Contract if you'll be collecting private-payment from beneficiaries. The correct process for using an ABN when normally-covered services may no longer be covered due to lack of medical necessity. Resources and Links mentioned in this episode: MEDICARE AND CASH-PAY PHYSICAL THERAPY – a Guide to the Rules and Regulations on Taking Private Payment from Medicare Beneficiaries If you are interested in the full-length book, access to all the links and sources, and over 30 more pages of information to clear up the confusion and fear most practice owners have surrounding this topic, click here to get it all.