Be Prepared

Health Folders

How to respond to a Medicare medical record request.

By Olajide Kolawole, PT, MS, PhD

In recent years, the Office of Inspector General, among other Medicare entities, has intensified review claims on physical therapists in private practice. As a practice owner, you must be aware of what to do when you open your mail and find a request for documentation. Providers who have a high percentage of patients who’ve exceeded the $3,700 threshold as of the end of 2017 may be targeted. However, there are other reasons why a request for documentation may be sent.

Don’t Discount Your Value

Janet Shelley
By Janet Shelley, PT, DPT, Chairperson

2018 began with a change in the value of many Current Procedural Terminology (CPT) codes used by physical therapists to bill the Medicare program for their services. Some increased, others diminished, but overall, the value assigned to physical therapy services by both federal and commercial payers continues to threaten the viability of the private practitioner.

Lessons Learned

By Stacy M. Menz, PT, DPT

Lessons Learned. Oh, there have been so many, and I’m sure many more to come! My goal has been to make sure I learn from these “lessons” so that they don’t repeat themselves.

It’s Not the Soup

Bowl of soup
By Ben Montgomery*

Without going into too much detail (as my old journalism professor would say, “Consider the audience, kid!”), it takes a lot of work to become a physical therapist.

Misfortune or Blessing? Stay Calm and Choose Your Response

Rain Cloud

Making judgments about events before they are played out may be wasted energy.

By Deb Gulbrandson, PT, DPT

Have you heard the story about the poor Chinese farmer whose work horse ran away? Hearing that the farmer’s livelihood had just disappeared over the hills, the townspeople cried, “This is horrible. What misfortune.” To which the farmer replied, “Perhaps.”

Copyright © 2018, Private Practice Section of the American Physical Therapy Association. All Rights Reserved.