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As 2013 comes to a close, SCAPTA would like to wish its members, partners and other industry professionals a safe and happy holiday season. As we reflect on the past year for the industry, we would like to provide the readers of SCAPTA News a look at the most accessed Exclusive Content articles from the year. Our regular publication will resume Jan. 8.

Everything you need to know about the Medicare 8-minute rule
By Heidi Jannenga
From Nov. 21: Want to know what to bill to Medicare for outpatient therapy services (aka, the 8-minute rule)? First, there are two types of CPT codes you'll need to understand in order to bill properly: service- and time-based. And here's where the 8-minute rule comes in: In order to receive reimbursement from Medicare for a time-based code, you must provide direct treatment for at least eight minutes. The key to correct billing is doing the math.
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No workarounds: Following the rules of the therapy cap
By Heidi Jannenga
From Sept. 12: If you're like most rehab therapists, finding a letter from Medicare in your mailbox is enough to make your brow sweat and your heart skip a beat. With all of the regulations we have to follow — and the potential penalties associated with noncompliance — it's no surprise that we have grown to fear Medicare. Or in some cases, we're afraid of not getting paid. Thus, rather than defend our decisions, expertise and treatment plans, some of us look for ways to "game the system." One way therapists are doing this is working around the therapy cap to avoid having their exceptions rejected.
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Is prolotherapy effective for osteoarthritic knees?
By Heidi Mills
From Sept. 26: A new study has been published in the Annals of Family Medicine that investigates the use of dextrose prolotherapy injections in the treatment of osteoarthritic knee joints. Prolotherapy is a form of injection therapy using natural substances. While the exact reasons for its apparent success are still not clear, the main principle is that a small amount of the irritant solution is injected into joint spaces and surrounding soft-tissue structures to initiate a healing response.
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Gaming the system and other FLR no-nos
By Erica Cohen
From Aug. 8: We all know functional limitation reporting, or FLR, means more work for basically the same reward. And that can be a hard pill to swallow for many therapists who are already stretched thin as a result of increasing caseloads and increasingly stringent documentation requirements. Even so, taking the low road and gaming the system — and thus, this profession — is not the answer.
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No-shows: The bane of a therapist's existence
By Heidi Dawson
From Nov. 27 : Anyone who works with members of the public on an individual appointment basis will understand what is meant by the title of this article. Unfortunately, this is no exaggeration and something that happens on a regular basis to therapists worldwide, myself included. I regularly have conversations with reliable clients, therapists and friends about the best way to tackle this problem. There are differing thoughts and opinions regarding the best way to reduce the impact this has on your business, so I thought I would explain some of the options and downfalls when it comes to addressing late cancellations and no-shows.
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Do 7 tips for improving work efficiency in your rehab therapy clinic
By Brooke Andrus
From May 16: You've probably come across blog posts with advice for you and your clinic on conserving resources and becoming more environmentally conscious. But let's not forget about the most important resource of all — your time. You might assume you need a major systematic overhaul to improve work efficiency in your clinic. Not so. In this case, small investments pay big dividends. Here are some quick tips to help you get the most out of every minute.
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Update on medial tibial stress syndrome
By Heidi Mills
From May 2: Medial tibial stress syndrome is a condition which has more commonly been known as "shin splints." However, shin splints is a fairly generic term for any pain which manifests in the general shin area, which could actually cover around 30 different conditions. There is plentiful research still going ahead regarding this condition, its causes and the most effective forms of treatment. Here is a round-up of the current thinking when it comes to MTSS from the recent Running 2013 conference.
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Help! Medicare rejected my claim — now what?
By Erica Cohen
From Aug. 29: So, you submitted a claim lacking functional limitation reporting to Medicare after July 1. Uh-oh. By now, you've probably received a polite rejection letter telling you that Medicare will not be providing you with reimbursement for your services — and neither will the beneficiary. What's a PT, OT or SLP to do?
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Adopting a multidimensional individualized approach to plantar fasciitis treatment
By Heidi Dawson
From Oct. 17: Plantar fasciitis is thought to affect around 10 percent of people at some point in their lifetime. For such a prevalent condition, we really should have its treatment down to a fine art by now, shouldn't we? But this really isn't the case. There are many forms of treatment out there that have all been used in attempts to cure the condition, but so far there is no one treatment that has demonstrated consistently good results. And therein lies the problem.
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8 things you need to know now about ICD-10
By Charlotte Bohnett
From Sept. 5: The United States is the last country in the world with modern healthcare to adopt ICD-10 diagnosis codes, but it will join the crowd on Oct. 1, 2014. This massive ICD-10 change is quickly approaching, and it affects all of us in the healthcare field. Thus, there is no time like the present to start your ICD-10 education. Here are the eight things you need to know now about ICD-10.
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Colby Horton, Vice President of Publishing, 469.420.2601
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