HTS Blog

Prior-Authorization is Required for Humana Part B Through Optum/OrthoNet

Effective January 1, 2020 prior authorization from Optum/OrthoNet is required for all physical therapy, occupational therapy, and speech therapy providers as well as any provider type billing one of the below CPT codes for Humana Commercial,…
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SLP Case-Mix Group: What We’ve Learned

Accurate coding for the SLP Component under the PDPM reimbursement methodology has been an area of opportunity across the industry. HTS has uniquely positioned itself with a team of seasoned therapists and nurses to analyze data and trends to…
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Cognitive Therapy Coding Changes Effective 1/1/2020

The CY 2020 Physician Fee Schedule Final Rule updates payment policies, rates and provides other provisions for services under the Medicare Physician Fee Schedule (PFS) effective January 1, 2020. Below are changes related to cognitive therapy…
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2020 OIG Work Plan

The Office of Inspector General (OIG) 2020 workplan includes residents who were receiving Medicaid nursing home care and then were hospitalized. The beneficiary then returned to the same facility and received Medicare covered post-hospital SNF…
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Winter Threats to Your Heart

Winter and bitter cold temperatures pose danger for those with heart disease and especially for older adults. Understanding your personal heart attack risk is vitally important during winter months. It is also important to be aware of the threats…
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Assistive Devices to Help Promote Independence

As you get older, you may start to have trouble with everyday tasks such as bathing, picking up things off the floor, or even just getting around.  Assistive devices are products and tools that can make life easier. They might be new things…
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Experience the HTS Difference

Expect More When You Use HTS for Contract Therapy. As health care continues to evolve, we know your therapy team needs to walk beside you — and even a little ahead of you — to bring solutions, navigate change and anticipate needs. Our dedicated…
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PDPM Numbers After a Month: Looking Good

Article by James M. Berklan, www.mcknights.com Journalists are supposed to be “words” men and women, but to be honest, I love a good set of numbers as much as anything. Especially when they’re tied to a pertinent analysis. That’s…
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We LOVE Celebrating Successful Recoveries!

Southfield Village Therapy Team Celebrates a Successful Recovery! Patient, Brenda, enjoyed therapy so much that she dressed up for her last day at Southfield Village. Pictured left to right are Derek Gokee PT, Brenda, and Brian Kemp PTA. Follow…
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Poor Posture Takes a Toll on Overall Health

Everyone has heard the phrase “Stand Up Straight! Don’t Slouch!” Behind those long forgotten words lies a very valuable and surprisingly simple message: Good posture is important because it helps your body function at top speed. It promotes…
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PDPM Claims Processing Notice Issued by AHCA

Update on CMS & MAC Claims Processing Below is an update from AHCA on processing of Medicare claims under the Patient-Driven Payment Model. Please note particularly the part that suggests holding claims until Thursday, October 24. On October…
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PBJ Submission Deadline – 11.14.19

The final submission deadline for this quarter is November 14th, 2019. Only data successfully submitted by this time is used on the Nursing Home Compare website and in the five star rating calculations. Tips: Once information…
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