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Why Physical Therapists Need to Understand Medicare

Understanding Medicare compliance and requirements is key to understanding your professional future.

Medicare is the most sophisticated payer for our profession, and its policies are widely copied and adopted by other payers. Watch Medicare and you can predict the future. Even if you plan on a career in pediatrics, it is important to understand Medicare.

Unfortunately, Medicare requirements are byzantine and not well understood by most of our colleagues. This is a brief summary of some of the more important Medicare requirements including:

  • Functional Limitation Reporting
  • PQRS
  • Counting Timed Procedures
  • Plans Of Care
  • Continuing Time Procedures
  • Progress Report
  • Medicare Cap
  • Manual Medical Review
  • Medical Necessity Requirements

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About Jerry Henderson

Jerry Henderson
Jerry has been a Physical Therapist for over 25 years. In addition to his role as Chief Therapist advising Clinicient, Jerry maintained an active private practice and was President of PhysioCare Corp. which provides management and financial services for independent physical therapy clinics. Prior to PhysioCare, Jerry founded Physical Therapy Clinics, Inc. (PTCI) a multi-clinic physical therapy operation. In 1995, he co-founded PT Link Corporation, which developed physical therapy documentation software. PT Link was acquired by The Pathways Group. In 1993, Jerry co-founded the Independent Private Practice Physical Therapy Association, a non-profit corporation to organize independent physical therapists for local legislative action. Jerry has a BS in Physical Therapy from the University of Utah.

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