Category Archives: Physical Therapy EMR

3 Steps to Medicare Compliance (That Most Therapists Fail)

Compliance isn’t hard. We make it hard. In fact, only three steps stand in the way of avoiding penalties, securing payment, and staying out of the headlines. Know the rules Have a platform that knows the rules Use the platform It seems unbelievably simple. Because it is. So why do so many physical therapists struggle to remain compliant? Step #1: Know the Rules Most physical therapists fail here. It’s hard to blame them. As I

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Maintaining Independence Amidst Healthcare Reform

In less than two years, Medicare, the nation’s largest payer, has been implementing payer reform aggressively for rehabilitation practices with complex programs: continued therapy caps, manual medical reviews, functional limitation reporting, MPPR, and now mandatory PQRS reporting. Managing these requirements places a tremendous hardship on practices, and failure to comply puts them at risk of claim denials, significant fines and even loss of their practice. As predicted, other commercial payers are beginning to follow suit, compounding

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UnitedHealthcare Adopts Functional Limitation Reporting Effective Aug 1st

Another Sign of Payer Reform In yet another sign of continuing payer reform, UnitedHealthcare announced that effective August 1, 2014 Functional Limitation Reporting (FLR) codes are required on all claims for their UnitedHealthcare Medicare Advantage plans as well as AARP-branded Medicare Complete Plans. Clinicient Customers Already Prepared Clinicient anticipated this when we introduced the automation of functional limitation reporting into the Clinicient product last year, allowing our customers to stay ahead of—and seamlessly transition to—the

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Defensible Medicare Documentation Made Simple

I have written extensively about the technical requirements for Medicare Compliance, and I recently had the pleasure of co-presenting a webinar with Nancy Beckley called Medicare Made Simple. I think the webinar gave a good, high level introduction about technical Medicare Requirements, and I hope that you find it useful. Defensible Documentation I would like to step away from the technical requirements a bit in this article, and offer some basic advice on creating Defensible Documentation. These

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Why EMR Implementations Fail in Physical Therapy

Remember, there is only one major reason that some EMR implementations fail: therapist adoption of the system. In the worst case, the clinical staff either explicitly rebels against using the system. More commonly, the staff simply refuses to adapt to the system and use it as designed. If the therapist refuses to use the system as it was configured and as designed, it just won’t live up to the potential that was envisioned in the sales process

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Postponing Real Reform: ICD-10, Therapy Cap and Medicare Fee Schedule

ICD-10 Implementation Delayed Until 2015 A  few hours ago, I was huddled together with some of my colleagues at Clinicient to watch an important Senate vote.  It was an important vote for our profession, but sad to say, it wasn’t a vote on meaningful healthcare reform. It was yet another vote to postpone real reform and kick the can down the road. Among many things, it postponed a 24% cut in the Medicare Fee Schedule,

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There’s Still Time: Register for 3/27 ICD-10 Webinar!

Beyond the Hype: What therapists should know about ICD-10 Join us this Thursday, March 27th, to find out what you need to know about ICD-10 as the October 1, 2014 deadline to transition looms closer. Join Physical Therapist Jerry Henderson, and Product Manager David Stockman as they weed through the hype about ICD-10 and share what is important to know about ICD-10 to help your practice prepare. This is a webinar every practice owner, therapist and

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Functional Limitation Reporting on Multiple Plans of Care

I feel like I start every conversation lately with, “I don’t think CMS is intentionally evil, but…”  And, so it is today.  I don’t think CMS is intentionally evil, but the latest developments in Functional Limitation Reporting are causing providers claim denials simply because CMS made the whole process too complex. Unintended Discharges The current issue is how CMS handles Unintended Discharges (or Self-discharged patients). It turns out that the Medicare Contractors (MACS) are having difficulty

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Creating a SMART Plan of Care for Physical Therapy

I am very proud of our accomplishments at Clinicient.  Over the past 10 years, we have listened closely to our customers, paid attention to trends in the industry, and developed  the best fully integrated, totally configurable EMR coupled with the most efficient and cost effective Revenue Cycle Management Service for physical rehabilitation on the planet. (Just my opinion, you understand, but I can back it up.) The Clinical Content Management System, Template Based Documentation, and

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ICD-10 for Physical Therapy: Don’t Believe the Hype

The APTA Combined Sections Meeting a few weeks ago was great and Las Vegas is a great city to host it. Everything in Vegas is over the top and larger than life. It seems fitting then that some people were going over the top with their doomsday scenarios about ICD-10 for physical therapy. You may have heard something like this at the conference, or in other forums out there: “Start hiring extra staff!” “You should

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    Clinicient is dedicated to helping private practices in Outpatient Rehabilitation succeed by offering a unique combination of integrated physical therapy software, efficient business processes, physical therapy billing experience and an unprecedented knowledge base of payer rules. Welcome to a better way.

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