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 Announces New Partnership With Vsimple | Vsimple and Blue and Co logo

Blue & Co., LLC Announces New Partnership With Vsimple

CARMEL, Ind. (May 5, 2022) – Blue & Co., LLC is excited to announce our new partnership with Vsimple, a workflow management software company based in New Albany, IN.  Blue & Co and Vsimple will be working closely together to address the workflow and process improvement challenges of manufacturers throughout the Midwest. “At Blue & […]

Learn More
Proposed Rule FY 2023 for Skilled Nursing Facilities

Proposed Rule FY 2023 for Skilled Nursing Facilities

It is that time of year again! The Center for Medicare and Medicaid Services (CMS) has issued the proposed rule that would update Medicare payment policies and rates for the fiscal year (FY) 2023’s Skilled Nursing Facility (SNF) Prospective Payment System (PPS). The Patient Driven Payment Model (PDPM) was implemented on October 1, 2019. This […]

Learn More
Coverage Scheduling Solutions for Physician Practices and Hospital Systems

Scheduling Solutions for Clinician Work-Life Balance

One of the most challenging conversations in any multi-physician practice or specialty-based hospital employed group is about how to create a fair distribution of on-call and/or inpatient hospital service coverage while balancing the duties of an outpatient practice. The COVID-19 pandemic has contributed to clinician burnout, and physicians and Advanced Practice Providers (APPs) place significant […]

Learn More