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Is your practice and billing software ICD-10 ready?
Physical Therapy Products
As the ICD-10 transition rests its fingertips just on the horizon, ill preparation for its arrival can result in a variety of consequences for physical therapy facilities. Chief among them are claim denials and compliance issues. Industry insiders share their insight on the advent of ICD-10 and the steps PTs can take to prep their practice and billing software.
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Attention Payment Chairs:

We learned of an issue with Medicare Part B payment of Manual Therapy, 97140, on Friday, July 3. Contact was made with Medicare representatives and APTA to assist in determining the problem and resolving this issue as quickly as possible. The information below was posted by Medicare late yesterday afternoon. If your practice has units of 97140 that have been denied by Medicare, please note the instructions in this Medicare notice.

Jurisdiction 11 Part B
Incorrect Denials of Manual Lymphatic Drainage Therapy


Palmetto GBA has determined that Part B claims for CPT code 97140, manual lymphatic drainage therapy, may have been denied in error based on an edit applied on June 18, 2015, that incorrectly limited coverage for Part B claims.

Provider Action:
There is no provider action necessary nor need to contact or notify the provider contact center of incorrectly denied claims. Once the system has been updated Palmetto GBA will automatically adjust any affected claims.

As a reminder, while there is no local coverage determination for this CPT code, providers are required to maintain documentation to support the medical necessity of this service and make that documentation available when requested to support a service billed.

Providers can receive automatic notifications of updates to this CPIL by signing up for this CPIL's 'Article Update Notification.'


Robbie Leonard, PT
Chair, Payment & Policy Committee

Foundation opens Call for Scientific Review Committee Members
Foundation for Physical Therapy
The Foundation for Physical Therapy (Foundation) is accepting nominations from physical therapists interested in serving on the Foundation's Scientific Review Committee (SRC). This elite group of professionals is the peer review arm of the Foundation’s scholarship, fellowship, and grants programs. Members selected to serve on the SRC have significant practice in training pre- and postdoctoral students and mentoring emerging investigators, as well as strong track records of extramural funding and peer review experience at the federal level. Terms are for 3 years beginning January, 2016. Nominations must be submitted no later than August 1. For more information, including a full list of qualifications to serve on the SRC and instructions on submitting a CV, please visit the SRC webpage or contact Rachael Crockett.
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Concerns about the ability to perform dry needling in South Carolina
The South Carolina Physical Therapy Association (SCAPTA) has been made aware of a number of complaints that have been filed with the South Carolina Department of Labor, Licensing, & Regulation against physical therapists related to the performance of dry needling. While dry needling is within the professional and legal scope of physical therapist practice in South Carolina, there is significant concern by SCAPTA about these complaints. Complaints have been filed against both members and non-members across the state. If you or someone you know have received a complaint regarding the practice of dry needling, we need to hear from you as soon as possible.

Please contact the SCAPTA Executive Director's office at (703) 706-3136 or We need to hear from all clinicians across the state that have been contacted whether or not they are a member of the association. As your professional association SCAPTA continues to be an advocate for all PT's and PTA's in the state of South Carolina and we will be working quickly to develop resources and coordinate a response for individuals involved in this issue. For any further questions or concerns please communicate with SCAPTA leadership by contacting the SCAPTA Executive Director's office at (703) 706-3136.

Thank you for your dedication to the PT profession, and for your membership in SCAPTA.

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Save the Date for SCAPTA's Inaugural Moving Forward 5K Race
Held by the South Carolina chapter of the American Physical Therapy Association (SCAPTA) to celebrate October National Physical Therapy Month and benefitting SCAPTA and partial proceeds towards Charleston's Achieving Wheelchair Equality (AWE).

Saturday, Oct. 10, 2015
9:00 a.m.
James Island County Park in Charleston, S.C.

Achieving Wheelchair Equality is a Charleston, S.C., organization that serves the wheelchair using community and mobility impaired population in order to become involved, productive members. They educate and increase awareness to others about accessible resources in our environment for those with mobility impairments whether it be with daily activities with peer support and direct services including building ramps or in participation in recreational activities such as the Lowcountry Wheelchair Sports including and not limited to basketball, tennis, racing with hand cycling, swimming, triathletes, and more!

Watch this page for more information regarding sponsorship opportunities and registration.

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SoPAC Annual Conference to be held Nov. 6-8 in Pittsburgh
Section on Pediatrics Annual Conference (SoPAC) will be held Nov. 6–8, 2015, at the Wyndham Grand Hotel in Pittsburgh, Pennsylvania. Four pre-conference courses will be held November 4-5. The 2015 SoPAC theme is: "Convergence of Knowledge and Research into Practice." SoPAC includes 18 hours of all-pediatric programming with concurrent sessions from all pediatric practice areas. The SoPAC Schedule-At-A-Glance and registration information can be accessed at
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What's up at CMS? Here's a quick rundown of 5 rules that may affect you
PT in Motion
Spring is gone, summer's here, and the U.S. Centers for Medicare and Medicaid just keeps on churning out more proposed and final rules that can have a big impact on physical therapists and physical therapist assistants. Sometimes the changes will be felt directly by PTs and PTAs; sometimes the changes affect how employers will operate; sometimes the changes have to do with the ways beneficiaries interact with the systems. The regulatory affairs staff at APTA keeps a close eye on all of the rulemaking and creates detailed resources that can keep you up to speed. It's all part of an effort to untangle rules that can seem dizzingly complex — but should not be ignored. Here are 5 rules you should know about — 4 proposed and 1 final — and what APTA offers for a more detailed take.
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New ICD-10 guidance to prepare for final Medicare testing week
HealthData Management
The Centers for Medicare and Medicaid Services has issued updated guidance as the last week to conduct ICD-10 end-to-end testing with Medicare — July 20-24 — The guidance also covers ICD-10 acknowledgement testing, which can done at any time with an organization's Medicare contractor and no registration is required. Acknowledgement testing is done to confirm that an insurer received properly coded ICD-10 claims.
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Physical therapy may help treat dizziness
The Paris Post-Intelligencer
Dizziness is one of the most common causes for adults to see their provider. Although it can quickly keep people from their daily routine and activities, it rarely is a sign of a life-threatening condition. Depending on the specific cause, the doctor may prescribe physical therapy as part of treatment. One treatment available is vestibular rehabilitation therapy. VRT is a specialized form of therapy designed to alleviate both primary and secondary symptoms of vestibular disorders.
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Post-baby bod status triggers interest in physical therapy postpartum treatment programs
"Post-Baby Bod" status is the hot topic on the Internet and in other media outlets. This has more and more women researching how to get their "Post Baby Bod" back in shape. Recent Google Search trends indicate more and more people searching for terms such as "Post Baby Bod Physical Therapy Treatment," "Post Baby Bod Workout," "Diastasis Recti," "Jelly Belly" and "Mommy Tummy."
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Healthcare providers need to consider options offered by patient financing programs
Most health care practices have financial policies in place that require payment by cash, check or major credit card for out-of-pocket costs. However, in today's economic environment, patients appreciate and have come to expect additional options from health care providers in the management of the cost of care. The addition of a patient financing program to a practice's financial policy can help to ease these cost concerns.
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Impact of spatial neglect on stroke rehabilitation: Evidence from the setting of an inpatient rehabilitation facility
Archives of Physical Medicine and Rehabilitation
Researchers examined the impact of spatial neglect on rehabilitation outcome, risk of falls and discharge disposition in stroke survivors.
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CHIME highlights need to improve certified EHR technology
EHR Intelligence
The College of Healthcare Information Management Executives (CHIME) has shared a handful of recommendations with the Senate Committee on Health, Education, Labor and Pensions with the purpose of realizing the potential of certified EHR technology to improve patient care. Choosing the right patient financing program and adding it to a financial policy can be an effective way to help increase treatment acceptance, reduce time in accounts receivable and improve cash flow. Here are important considerations to use in the evaluation of patient financing programs.
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Why you need to address complex regional pain syndrome
Cleveland Clinic
Complex regional pain syndrome is as bad as it sounds — severe, spreading chronic pain with redness, fluctuating skin temperature and sometimes changes in body hair and nail growth. These issues make it hard for most patients to use their affected arm or leg, the body parts that are most often impacted. As if that's not enough, CRPS is not widely known by many doctors and is not well understood, so it is often misdiagnosed and many patients receive the wrong treatments or no treatment at all. For these reasons, early diagnosis and the right treatment are critical.
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Missed last week's issue? See which articles your colleagues read most.

    Best exercises for gluteus medius strengthening (By Heidi Dawson)
7 lessons learned from opening a PT private practice (WebPT)
Physical therapy for postpartum problems (Richmond Times-Dispatch)
Study: Location differences, disproportionate burdens among PT copay problems (PT in Motion)

Don't be left behind. Click here to see what else you missed.



Colby Horton, Vice President of Publishing, 469.420.2601
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Brie Ragland, Senior Content Editor, 469.420.2639  
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