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Customer Service and Compliance

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Recent developments affecting physical therapy practice.

By Paul Welk, PT, JD

When considering the relationship between private practice physical therapists and their patients and customers, legal compliance is likely not the first consideration that comes to mind. However, two recent compliance developments relate directly to the physical therapy provider/customer relationship. Specifically, this article summarizes changes in the Department of Health and Human Services Office of Inspector General’s (OIG) interpretation of “nominal value” in connection with gifts to Medicare and Medicaid beneficiaries and the OIG’s new safe harbor for free or discounted transportation, and how each of these changes affects the customer relationship.

Laws & Regulations?

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Enhance compliance and avoid pitfalls.

By Christine V. Walters, JD, MAS, SHRM-SCP, SPHR

Read 10 articles and you will have 10 different predictions of what the new presidential administration will bring. In retrospect, select another 10 articles on what the 10 issues were in 2016 that most impacted employment practices, and again you will have differing opinions.

Final Ruling

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Centers for Medicare & Medicaid Services publishes final rule on emergency preparedness.

By Paul J. Welk, PT, JD

On September 16, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a final rule (“Rule”) providing for emergency preparedness requirements for certain Medicare- and Medicaid-participating providers and suppliers.1 The Rule went into effect on November 16, 2016; however, those health care providers and suppliers affected by the Rule2 are not required to be in compliance with the regulations until November 16, 2017, one year after the effective date.

New Evaluation Codes for Physical Therapists

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By Rick Gawenda, PT

When the clock struck midnight on January 1, 2017, “out with the old and in with the new” applied to suppliers and providers of physical therapy services. That’s because effective January 1, 2017, Current Procedural Terminology (CPT) codes 97001 (Physical therapy evaluation) and 97002 (Physical therapy reevaluation) were deleted and replaced with 3 new CPT codes for physical therapy evaluation and 1 new CPT code for physical therapy reevaluation.

Compliance Q & A

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How well do you know compliance requirements?

By Mary R. Daulong, PT, CHC, CHP

Therapists and practice owners are in a complicated and risky situation when it comes to finding accurate answers to compliance requirements. Each day there appears to be yet another regulation or another modification or escalation to an existing regulation. How and when are practitioners expected to find the time to monitor the ever-changing regulatory environment?

Copyright © 2017, Private Practice Section of the American Physical Therapy Association. All Rights Reserved.