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This is the General News Posting Page. If you are posting information on HOD or Legislative Issues, please use the Members Only posting pages - click on "Members Only".
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  • 30-Apr-2020 2:23 PM | Anonymous member (Administrator)

    Responding to APTA advocacy, CMS is providing greater flexibility. APTA summary to come, but the interim rule includes PTs among providers that can furnish telehealth services and is allowing the performance of maintenance therapy by a PTA under Part B: https://cms.gov/files/document/covid-19-physicians-and-practitioners.pdf

  • 09-Apr-2020 10:32 AM | Anonymous member (Administrator)

    APTA's flagship telehealth page is now enhanced with news and frequent updates related to COVID-19 changes, including use of digital “e-visits” and the status of state and payer policies related to eligibility to practice and coverage of telehealth, as well as template letters to help you advocate to CMS, states, and payers to waive telehealth restrictions.

    http://www.apta.org/Telehealth/?_zs=uL3fV1&_zl=RFpe6

  • 09-Apr-2020 10:25 AM | Anonymous member (Administrator)

    In a letter to Alpine PT in Missoula, BCBSMT stated:

    "BCBSMT covers telemedicine services provided by physical therapists under the terms and conditions set out in 33-22-138, MCA. In addition, due to the COVID-19 public health emergency, BCBSMT is temporarily enhancing our telehealth benefits beyond the requirements of 33-22-138, MCA.
    "Retroactive to February 4, 2020, we will compensate participating providers for secure interactive audiovideo covered telemedicine services at the same rates allowed for an in-person office visit. We are also temporarily expanding telehealth coverage to audio-only telephone calls (see our April 1, 2020 Blue News announcement for more details and compensation information for audio-only telephone covered services), and we are temporarily waiving member cost-sharing for all in-network covered telemedicine services until April 30, 2020. These business decisions will be re-evaluated as necessary, as the COVID-19 public health emergency progresses."

  • 30-Mar-2020 8:06 PM | Anonymous member (Administrator)

    These articles were distributed by JCCS, a CPA firm in Montana. They explain how these Relief Packages may help you.



  • 30-Mar-2020 7:38 PM | Anonymous member (Administrator)

    Today, CMS issued a wide range of temporary regulatory waivers and new rules to respond to the COVID-19 public health emergency. APTA staff are currently reviewing what it means for PTs and PTAs who work across the care continuum. APTA will follow up with more details tomorrow.

    https://www.cms.gov/newsroom/press-releases/trump-administration-makes-sweeping-regulatory-changes-help-us-healthcare-system-address-covid-19

  • 30-Mar-2020 7:05 PM | Anonymous member (Administrator)

    Today's virtual Town Hall on Telehealth, Evisits and other telemedicine topics was recorded. The recording and the slides can be found in the members only section.

    Members may view these here.  This will take you to the members only area. You will need to log in using the email address we have on file for you.


  • 25-Mar-2020 1:43 PM | Anonymous member (Administrator)

    THIS WILL EVOLVE OVER TIME. This as of 3/24/20. If you have more to share, please send it to this office or to Christian.

    E-Visit

    1) The patient must initiate the need for an E-visit

    2) The 7 days begins when the provider provides first E-visit

    3) A G-code is billed at the end of the 7 day time frame based on total time spent with patient during that 7 day time period

    4) G2061 5-10 min, G2062 11-20 min, G2063 21 min or more (this is cumulative time during the 7 days)

    5) Due not use place of service code "02" for E-visits. Use place of service for where the provider is located

    6) Use CR modifier

    7) The APTA is seeking clarity from CMS what occurs after the 7 day time period.

    8) Cannot perform an evaluation, only appropriate to use with established patients

    9) Medicare and Aetna (Medicaid, Tricare ?)

    10) Telephone or 2-way telecommunications are appropriate

    11) President has temporarily relaxed HIPAA requirements

    Telehealth

    • 1)    BCBS, Pacific Source, most private 3rd party payers
    • 2)    Billed each visit
    • 3)    Use normal CPT codes (obviously not manual therapy)
    • 4)      Use GT modifier (indicate a service was rendered via synchronous telecommunication.)
    • 5)      My understanding can use place of service “11” office or “12” home. “02” Telehealth does not seem to be necessary with GT modifier
    • 6)    Most 3rd party payers are requiring use of HIPAA platform requirements. It is unclear if the President’s order to relax HIPAA requirements for Telehealth extends to private 3rd party payers. I am looking into Google Meet, doxy.com, vsee.com (non HIPAA compliant platforms that work well are LifeSize Video, Facetime, Zoom>


  • 25-Mar-2020 11:54 AM | Anonymous member (Administrator)

    From http://www.apta.org/PTinMotion/News/2020/03/18/E-VisitFAQs/

    Recent waivers by CMS that allow for limited digital communication with patients have triggered a wave of questions. Here are our answers to the ones we hear most often.

    APTA is receiving many questions about the recent regulatory waivers announced by CMS related to digital communication between providers and patients, particularly regarding e-visits and the use of HCPCS codes G2061-G2063. We've compiled this list of the most common questions we've received so far.

    If you have a handle on e-visits and just want a brief review of the basics, see our "Quick Reference to Using E-Visits for Physical Therapist Services." But if the new waivers leave you with questions, continue HERE.

    Please note that e-visits are NOT the same as telehealth or telerehab services. Congress and CMS have not modified Medicare to allow physical therapists to the roster of providers who can be reimbursed for telehealth services. With that said, APTA regulatory and payment staff are working directly with CMS and private payers to seek expansion of coverage of telehealth services to include physical therapy services.

    <Read More>

  • 24-Mar-2020 6:05 PM | Anonymous member (Administrator)

    APTA President Sharon Dunn’s letter to the membership about the challenges we’re facing during the COVID-19 epidemic and how we must face them together.

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