Let's Help Each Other

Physical therapy is changing rapidly. As a PT with more than thirty years of experience, the changes observed in the last ten years triple those of the first twenty years. The pace of change is not slowing down. The Medigraph Blog will serve as a forum that will enable us to exchange ideas and assist each other. This blog will be used to share billing, documentation, and any other ideas to improve any aspects of our profession. If we share what we have learned, we can develop a resource that enables our collective understanding to advance our careers.

As profit margins grow smaller and expenses grow larger, we need to assist each other to survive and prosper. If we share our experiences we can help each other to grow professionally, administratively, and financially. Our professional lives, our livelihood, and our personal lives are intertwined. Our resources individually are limited. Together we can accomplish more than we can individually. Let's help each other


Tom Kane, PT
MediGraph Software

New Medicare Enrollment Requirements
8/12/2011 5:53:00 PM

The April 1, 2011 post on this blog presented a preview of things to come from Medicare.  That post addressed the prospect of unannounced on site visits from Medicare.  Final rules regarding eligible enrollment of PT have been established by CMS. 

Physical therapists that were enrolled in the Medicare prior to March 25, 2011 must revalidate their enrollment as required by the Affordable Care Act (ACA, commonly referred to as Obamacare). Part of the reason for this new enrollment is the classification of the new risk (fraud) screening criteria.  As was addressed in the aforementioned April 1, 20111 blog post, PT has been assigned to the Moderate risk category for fraud. The risk categories (low, moderate, high) determine the degree of screening that will be performed by MACs (Medicare Administrative Contractors).  As stated in the April posting, the moderate risk classification means that PTs are subject to unannounced on site inspections from Medicare Administrative Contractors.   

Starting from today through March 2013, MACs will be notifying practitioners of the need to re-enroll in Medicare.   CMS has advised providers to begin the revalidation process as soon as they hear from their MACs.  You only have 60 days from the date of the letter to submit complete enrollment forms. Failure to submit the enrollment forms as requested may result in the deactivation of your Medicare billing privileges. 


Tom Kane,  PT