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OP Therapy Cap: Congress Votes on Full Repeal

therapy cap repeal 2018

We have been waiting to see if, how, and when there would be repeal or replace legislation that would impact the recent therapy payment cap exceptions expiration that went into effect on January 1, 2018.  On February 9, 2018, President…

Written by: Shawn Hewitt on Monday, February 12, 2018

Medicare’s Therapy Cap for Outpatient Rehab


The therapy cap exception process for use of the KX modifier and the manual medical review (MMR) process expired at the end of 2017.  That means that without a change or an extension of the therapy cap exceptions process, beneficiaries…

Written by: Shawn Hewitt on Wednesday, January 31, 2018 Outpatient Rehab

CMS Updates Policy to Fight the Opioid Crisis

In early November 2017, the Center for Medicare & Medicaid Services (CMS) announced a policy allowing states to design demonstration projects to improve treatment for opioid use disorder (OUD) and other substance abuse disorders (SUD). The announcement followed president Donald…

Written by: Shawn Hewitt on Monday, November 27, 2017

3 Takeaways from APTA PPS 2017


I had the pleasure of attending and exhibiting at the APTA PPS 2017 Annual Conference in Chicago Nov 1-4.  It is always a well-attended show with private practice owners, clinicians, and vendors learning and sharing with one another about process,…

CMS Final Rule and Impact to the Therapy Cap


  At the end of October, I blogged about a bipartisan proposal to repeal the therapy cap exception process for OT/PT/SLP.  This bipartisan effort was through the Senate Finance Committee, the House Ways and Means Committee, and the House Energy…

Written by: Shawn Hewitt on Wednesday, November 8, 2017 Outpatient Rehab

FAQs from our What You Need to Know About the IRF PPS 2018 Final Rule Webinar


Earlier this month, clinical consultant Virginia Littlepage presented a webinar packed with all the information you need about the IRF PPS 2018 final rule and what changes to expect for FY19. We compiled the most commons questions and their answers…

Written by: Virginia Littlepage on Thursday, November 2, 2017 Inpatient Rehab, IRFPPS 2018 Final Rule

Therapy Cap Repeal on the Table Again

therapy cap repeal 2018

On Oct. 26, 2017, a bipartisan proposal was announced to repeal the infamous “therapy cap” for OT/PT/SLP. This bipartisan effort is through the Senate Finance Committee, the House Ways and Means Committee, and the House Energy and Commerce Committee. What…

Written by: Shawn Hewitt on Tuesday, October 31, 2017

The Front Office: Gatekeeper for Your Rehab Facility


At most rehabilitation facilities, the “front office” and/or the admissions coordinator shoulders a variety of responsibilities, including facilitating the intake process and serving as a liaison between his or her organization and its referral sources. As a critical cog in…

Written by: Shawn Hewitt on Thursday, October 19, 2017 Outpatient Rehab

Three-Hour Rule NOT Defined: How to interpret regulations when black-and-white guidelines do not exist


I was recently asked whether there was evidence somewhere to support that patients discharged on day seven do not have to receive three hours of therapy for at least five days of the week. I immediately went to my trusty…

Written by: Virginia Littlepage on Wednesday, October 18, 2017 Inpatient Rehab, 3-hour rule, inpatient rehabilitation

Happy National PT Month!

national pt month

Every fall, physical therapists celebrate the profession’s transformative power during a month of outreach, reflection, and focused communication. October’s National Physical Therapy Month turns 25 this year, and practitioners around the country are taking the opportunity to raise awareness for…

Written by: Shawn Hewitt on Thursday, October 12, 2017 Inpatient Rehab, Outpatient Rehab

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