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What Impact Does the 2025 Proposed Rule Have If You Provide PT and OT Treatments?

The 2025 Proposed Rule was released on July 10, 2024. There will be significant changes in operations practice for Physical Therapy (PT) and Occupational Therapy (OT).  There will need to be modifications to the Medicare Benefit Policy Manual (MBPM) Section 220, if the rule is finalized in November 2024, to be effective 1/1/2025. The press release for the 2025 Proposed Rule provides specifics. Here are two of the therapy changes that were outlined in the proposed rule:…

The Basics: 7 Elements of a Compliance Program: Part 1

With the General Compliance Program Guidance updates released in November 2023, we wanted to take the 7 elements of a compliance program and break it down. What are the 7 elements? Why are they important and how can these elements be implemented? We will go through 1-4 below & you will be able to find 5-7 on Part 2 of this blog. This blog will be valuable if you are new to compliance or if…

What’s up With All the Part B Additional Document Requests?

If you provide and bill for PT, OT and SLP therapy services under Medicare Part B and have not received any requests from your Medicare Administrative Contractor (MAC), consider yourself lucky! During the Public Health Emergency (PHE), the Centers for Medicare and Medicaid (CMS) halted all audits. Since the end of the pandemic on May 11, 2023, CMS has charged the MACs with closer review of Medicare billing under Part B. Concurrently, there has been…