fbpx

< Back to Thought Leadership

Hospital Outpatient PT/OT/ST Services Can Now Be Provided via Telehealth

On April 30, 2020, CMS issued a second round of sweeping changes to support the healthcare system during the COVID-19 Pandemic. One of these changes is the waiving of limitations on the types of clinical practitioners that can furnish Medicare telehealth services. Prior to this change, only doctors, nurse practitioners, physician assistants, and certain others could deliver telehealth services. With this change, other practitioners are able to provide telehealth services, including physical therapists, occupational therapists, and speech language pathologists.

Until this change, therapists could only provide e-visits, a separate category of remote delivery of services. Even so, however, these services were only payable if billed on a CMS 1500 claim form. Hospital outpatient therapy services billed on the UB-04 claim form was excluded from being reimbursed for e-visits.

This is a great opportunity for hospital-based outpatient therapy, however, it can also set the stage for great risk. As you move to this new platform, make sure your team understands the operational implications (e.g. patient consent, acknowledgment of privacy notice) and regulatory compliance for billing, coding, and documentation. Blue & Co. can provide guidance in this area. For more information, contact our telehealth team.

Blue & Co., LLC acquires Alerding CPA Group

Blue & Co., LLC acquires Alerding CPA Group

Carmel, Ind. (November 23, 2022) – The accounting and consulting firms of Alerding CPA Group (Indianapolis, Ind.) and Blue & Co., LLC (Carmel, Ind.) have announced their merger. The combined firm will operate as Blue & Co., LLC (Blue & Co.), effective December 1, 2022. This acquisition will provide Blue & Co. with greater market […]

Learn More

Not-for-Profit Single Audit Requirements – Evaluation of Revenue Sources

By: Holly Fields, CPA, Senior Manager Not-for-profit organizations (NFPs) that receive federal financial assistance over certain levels, either directly from a federal agency or indirectly through state or local agencies, may be required to have a single audit performed under Federal Uniform Guidance. Single Audit Requirements A single audit includes not only an audit of […]

Learn More

Occupational Mix Survey: What You Need to Know

Every three years, the Centers for Medicare and Medicaid Services (CMS) requires any Hospital that is subject to the Inpatient Prospective Payment System (IPPS) to complete an Occupational Mix Survey (OMS). This data is then used to calculate an Occupational Mix Adjustment Factor (OMAF). The occupational mix adjustment impacts a hospital’s average hourly wage and […]

Learn More