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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?

The Basics

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Performing a HIPAA risk assessment for a suspected breach.

By Paul J. Welk, JD, PT

Most private practice physical therapists, even those who devote only limited time and attention to current events surrounding the Health Insurance Portability and Accountability Act of 1996 (HIPAA), are aware of the risks associated with a breach of Protected Health Information (PHI) and the potential negative ramifications of the same. That being said, many of these individuals nonetheless believe they are “careful enough” that neither they nor their practice will ever need to assess a potential HIPAA breach. The purpose of this column is to illustrate that breaches do occur in private practice physical therapy offices with more frequency than practitioners might imagine and to review certain steps in the risk assessment process that are undertaken should an impermissible use or disclosure of PHI occur.

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