Log in


News

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".
  • 18-Mar-2020 7:49 PM | Anonymous member (Administrator)

    BCBS telehealth policy follows the MT Statute, which allows for PTs to bill for telemedicine services.  Based on the member’s benefits, the procedure may be covered, but benefits will drive coverage based on the plan type. 

    As for pricing, physical therapy codes would follow CMS site-of-service differential for telehealth services and currently price at the professional facility rate.   (written prior to CMS change in coverage on 3/17/20)

    The pricing for PT is located in the RBRVS fee schedules posted on the provider portal: Fee Schedules > Professional Fee Schedules.


  • 18-Mar-2020 7:47 PM | Anonymous member (Administrator)

    Two commercial telehealth platforms are eVisit and VisuWell. If you use them, it's a good idea to check their information against the primary sources of state law.


  • 18-Mar-2020 7:07 PM | Anonymous member (Administrator)

    from Kimberlee Raynovich, and here is the link: https://ptonice.libsyn.com/

    Regardless if your state is a parity state,  Rob Vining, who did a great podcast on Monday,  #PTonICE Daily Show, therapists should double check with each and every insurance.  "Good suggestion is to call insurance, get an answer and then call the next day and make sure you get the same answer."   

    Rob is saying that there is a lot to do to get started but you can access a ton of info on Telehealthpt.com.  There are some bundles to buy, but you can get all of the information, "everything that you need " for free if you sign up for the ICE course on there.  

    Also, Rob explains about using the HIPPA compliant software.  Rob uses Zoom, which has a HIPPA compliant software for $200/mo.  Also, there is Doxy.me, which is $35 dollars a month.  He says don't use Skype, FaceTime, etc.  He also discusses scheduling, and other details such as the need to get consent, the patient needs to give written confirmation and then verbal at the time, to be recorded.


  • 18-Mar-2020 6:53 PM | Anonymous member (Administrator)

    Official guidance and best practices change rapidly as the COVID-19 outbreak continues to evolve. APTA is curating critical advice from trusted sources such as the CDC.

    Information is added hourly, daily. Please continue to check back:

    http://www.apta.org/Coronavirus/


    As of 3/18/2020:


    APTA Resources

    APTA Statement on Patient Care and Practice Management During COVID-19 Outbreak (March 17, 2020)
    As actions are taken across the country to reduce the spread of COVID-19, a virus that spreads easily from close contact, APTA encourages physical therapists to use their professional judgment to determine when, where, and how to provide care, with the understanding this is not the optimal environment for care, for anyone involved.

    Telehealth in Physical Therapy In Light of COVID-19 (March 16, 2020)
    The use of telehealth is one approach that can help keep both patients and providers safe, but PTs and PTAs need to understand the current regulatory and payer telehealth landscape to decide whether telehealth is right — or even a possibility — for them. (And be sure to tell Congress to waive restrictions on the use of telehealth!)

    National Health Emergency Triggers CMS Waivers for Medicare, Medicaid, CHIP (March 16, 2020)
    The "blanket waiver" system now in effect eases a wide range of requirements, but CMS still won't reimburse for telehealth by PTs. Take action!

    CMS Moves to Allow Digital Communications by PTs (March 17, 2020)
    The new regulatory waivers will allow PTs, OTs, and SLPs to engage in patient-initiated "e-visits" for purposes of assessment and management services.

    Coronavirus Update: March 17, 2020 (March 17, 2020)
    APTA provides a statement, resources, and guidance; CMS allows limited digital services by PTs; the CDC says gatherings should be fewer than 50 people, and more.

    CDC Resources

    CDC Information and Resources (updated frequently)
    Includes information for providers including infection control and preventing transmission in health care settings, guidance for clinical and home care, contact information for local and state health departments, and more; plus information for facilities, families, schools, communities, and businesses.

    CMS Resources

    CMS Issues COVID-19 Guidance on Infection Control, Protective Equipment (March 11, 2020)
    The ever-growing list of resources from CMS includes guidance related to particular settings including hospice, SNFs, and home health.

    CMS Guidance for Infection Control and Prevention of COVID-19 in Nursing Homes (March 13, 2020)
    CMS is providing additional guidance to nursing homes to help them improve their infection control and prevention practices to prevent the transmission of COVID-19, including revised guidance for visitation.

    Additional Resources

    Novel Coronavirus: A Wake-up Call for Best Practices in Preventing Pathogen Transmission (March 10, 2020
    In addition to taking precautions to avoid aerosolization (the production of airborne particles containing an infectious virus or bacteria), we must disinfect surfaces touched by infected people. Thus, in physical therapy clinics, in anticipation of future patients being infected by the SARS-CoV-2 virus, we must think holistically in terms of clinic disinfection and protection.

    APTA Events and Operations

    In an effort to reduce the spread of the coronavirus (COVID-19), effective March 11, 2020, APTA is suspending in-person meetings and APTA business travel by staff or members through April 15, 2020. This includes the Federal Advocacy Forum in Washington, DC.

    APTA has not made any decisions about events occurring after April 15, 2020, including the House of Delegates and NEXT Conference & Exposition in June. We intend to continue to monitor the situation and announce a decision about those events by April 20, 2020.

    APTA will contact members affected by any suspended in-person events to share any related details, including information about registration refunds or the potential for replacement virtual meetings, as appropriate.

    This decision by APTA national does not dictate the status of activities hosted by APTA chapters and sections.

    We will continue to monitor the developments around the spread of coronavirus. As with all public health situations, we primarily rely on the Centers for Disease Control and Prevention, the Occupational Health and Safety Administration, and the U.S. Office of the Surgeon General for the best information and preventive strategies.

    If you are registered for an APTA event beyond April 15, 2020, and don't want to attend due to coronavirus, contact APTA member services and you will be given a refund. (For quickest service, email memberservices@apta.org with the name of the event and the reason for your cancellation. If you have any other questions, please contact us.)

    We will continue to update this page if there are further changes to APTA's events and operations.



  • 23-Apr-2019 9:07 PM | Anonymous member

    Key Contacts
    The Key Contacts are APTA members who serve as the primary contacts with their Senators or Representative in the United States Congress. There can be more than one key contact for a member of Congress. Key Contacts establish valuable relationships with legislators to increase awareness of the issues that face the physical therapy profession.

    Key Contact Roles & Responsibilities:

    • Establish and maintain a relationship with members of Congress and their staff
    • Provide information on critical physical therapy issues to members of Congress
    • Develop a network of physical therapists that live in the state/congressional district who will write letters or make telephone calls to legislators in support of APTA's public policy priorities (This is generally automated now, so easy)

    If you have a personal connection to a legislator or are interested in building a relationship with your Senators or House Representative, e-mail brendamahlum@msn.com or advocacy@apta.org to become a key contact.


  • 18-Jun-2018 1:51 PM | Anonymous member (Administrator)

    The National Defense Authorization Act of 2017, signed on December 12, included a provision adding PTAs (and OTAs) as authorized providers under TRICARE. However, this change is not yet effective. The change to regulation will be implemented through the notice and comment rulemaking process. The proposed rule has not yet been released; it is expected in the fall of 2018 or spring of 2019. A 60-day comment period will follow the release of the proposed rule, after which the Department of Defense will review the comments and draft and publish the final rule. Until the rule is finalized and published, TRICARE does not consider a PTA as an authorized provider, and the rule will not be retroactive. APTA will keep members informed of the timeline for this changeover to the TRICARE system.


  • 11-Jun-2018 11:24 AM | Anonymous member (Administrator)

    In an effort to establish a group of Montana Pediatric PTs, we would like to hear from you:  The purpose of forming this group would be to provide more opportunities for networking, discussion and dissemination of information including continuing education that is specific to pediatric physical therapy.  And with more pediatric specific MAPTA courses coming in the next year, we will have an opportunity to meet, as a more established group, in the future.

    You don't need to be an APTA member to be included in this group.  If you are a member, and more specifically an Academy of Pediatric Physical Therapy (APPT) member, you may already be receiving emails from Jennifer Stephens, the Montana representative for the APPT.  As members of APPT, you will continue to receive news from Jennifer.  This new email list, is a separate list from the APPT list.  Jennifer and I are woking together to form this more comprehensive, so that all Montana pediatric PTs can be included.

    If you are interested in being included in this group and would like to include your email to this list, email me at krayno67@gmail.com.  


  • 01-Apr-2018 9:45 AM | Anonymous member (Administrator)

    Preauthorization (PA) is no longer required for certain services rendered on and after April 1, 2018. While a PA is no longer required, services are still subject to Medical Necessity and coverage criteria for payment. Blue Cross and Blue Shield of Montana (BCBSMT) may conduct post-service claim review for the appropriateness of care.

    eviCore will discontinue all PA and retrospective Utilization Management (UM) services requested by providers for the medical services identified below.

    Discontinued Preauthorization Requirement for These Services

           Service Modality

    ·         Ultrasound

    ·         Physical Therapy

    ·         Occupational Therapy

    ·         Speech Therapy

    ·         Chiropractic

    ·         Pain Management

    ·         Sleep Therapy

    ·         Sleep DME

    Membership Impacted

    ·         Montana Individual Medicare HMO

    ·         Montana Individual Medicare PPO

    ·         Montana Group Medicare PPO

    Please refer to the BCBSMT Medicare Advantage Discontinued Code List 

     


Powered by Wild Apricot Membership Software