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Top 5 things therapists should know about the Medicare Physician Fee Schedule final rule for 2025

Rehab Realities by Renee Kinder

The Medicare Physician Fee Schedule (MPFS) is the system through which the Centers for Medicare & Medicaid Services determines payment rates for services provided by physicians and other healthcare professionals. This year’s Medicare Physician Fee Schedule rule was released last Friday (Nov.

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Therapy teams take note: CY 2023 Medicare Physician Fee Schedule Final Rule

Rehab Realities by Renee Kinder

Medicare has released the calendar year 2023 final rule related to Medicare Part B, which is impacted by the physician fee schedule and determines rates and coding updates for your rehab providers. Click here for a fact sheet on final changes to the Medicare Shared Savings Program. Renee Kinder. It’s that time of year again!

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The skill of knowing the basics

Rehab Realities by Renee Kinder

Let’s start with some definitions and guidance from Medicare Benefit Policy Manual Chapter 15 – Covered Medical and Other Health Services. We are clinicians, after all, who provide care to complex patients daily so how about we start there! How is that defined per Medicare? Now on to complexities.

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Avoid These Common Mistakes in Elder Care Planning

Elder Care Matters

In this blog post, well highlight some of the most common mistakes families make when planning for elder care and how to avoid them to ensure your loved ones well-being and your peace of mind. The post Avoid These Common Mistakes in Elder Care Planning appeared first on Elder Care Directory - ElderCareMatters.com.

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Finding your PAC

Rehab Realities by Renee Kinder

But onward to post-acute care and what we see coming in the future. . Last week we as an industry saw RTI International release a report titled: CMS Report to Congress: Unified Payment for Medicare-Covered Post-Acute Care Analysis and Development of the Prototype Unified PAC Prospective Payment System Called for in the IMPACT Act.

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Step by step, how a CPT® code becomes a code

Rehab Realities by Renee Kinder

Every fall, healthcare professionals anxiously await the release of the Medicare Physician Fee Schedule (PFS) Final Rule, which outlines policy changes for Medicare payments under the PFS and updates to other Medicare Part B payment policies. What the Final Rule doesn’t fully explain is the journey that brought us here.

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Achoo! Springtime is PEPPER season

Rehab Realities by Renee Kinder

PEPPER is a report that uses National SNF claims data to identify areas within the SNF prospective payment system (PPS) that could be at risk for improper Medicare payment. First, we need to remember that PEPPER target areas were identified by CMS as being potentially at risk for improper Medicare payments.