Published on April 14, 2023
There’s a lot to discover in the Q1 issue of Networking. Our very own VP of Networking, Karen Chewning, has a network update. We’ll meet one of our own Network Providers, Sarah Sharpe, out of Florida and some network reminders.
Published on December 30, 2022
There’s a lot to discover in the Q4 issue of Networking, our very own VP of Networking, Karen Chewning, has a network update. We’ll meet one of our own Network Providers, Amy Baez out of Florida and how HN1 launched a free educational initiative by hosting a free 2 day test.
Published on September 30, 2022
In this edition our very own VP of Networking, Karen Chewning talks about compliance. We also get to meet one of our providers from Georgia, Jerison Speer who is treating people like people. Lastly you will learn what industry insiders are saying are the biggest trends, opportunities and challenges for rehab therapists.
Published on December 5, 2022
Los servicios de terapia deben ser facturados con ciertos modificadores, los cuales, además de ser requeridos, sirven para documentar la utilización de los servicios.
Published on June 30, 2022
In this edition: Social media is a great tool to connect with your community. In this issue, we’ll talk about best practices in social media we’ll meet one of our own Network Providers, Speech Therapist Elizabeth Peavy out of Georgia and our very own VP of Networking, Karen Chewning, has a few questions for you.
Published on Mar 17, 2022
In this edition: You’ll meet one of your own, network provider Dr. Michael Loeffler who’s been part of our Network for nearly three decades. We’ll also be giving you some insight into what’s happening with Medicaid as the Families First Coronavirus Response Act is set to lift sometime in 2022.
Published on Dec 16, 2021
En esta edición encontrarás: ¡URGENTE! Su participación con TNPR depende de su registro correcto en el Programa de Medicaid de Puerto Rico * Modificadores que se deben utilizar en los servicios de terapia * Transferencia Electrónica de Fondos * Declaración Afirmativa * Guías para la práctica clínica
Published on Sept 16, 2021
En esta edición encontrarás: Adiestramientos regulatorios anuales, Declaración Afirmativa, Datos demográficos del proveedor, Consejos para prevenir Fraude, Abuso, o Despilfarro, Transferencia Electrónica de Fondos, Guías para la práctica clínica, Programa de Medicaid de Puerto Rico y Documentación y pruebas funcionales para Terapia Física
Published on June 29, 2021
En esta edición encontrarás: MyCharlie extendido, Solicitudes de autorizaciones/upgrades a través del portal, Datos demográficos del proveedor, Adiestramientos regulatorios anuales, Consejos para prevenir Fraude, Abuso, o Despilfarro, Transferencia Electrónica de Fondos, Programa de Medicaid de Puerto Rico, Guías para la práctica clínica
Published on April 27, 2021
En esta edición encontrarás: Adiestramientos regulatorios anuales * Servicios de Terapia * Guías para la práctica clínica * Provider Code of Conduct * Programa de Medicaid de Puerto Rico * Consejos para prevenir Fraude, Abuso, o Despilfarro * Transferencia Electrónica de Fondos * Declaración Afirmativa y Solicitudes de autorización através del portal
Published on December 30, 2020
En esta edición encontrarás: * Declaración Afirmativa * Programa de Medicaid de Puerto Rico * Consejos para prevenir Fraude, Abuso, o Despilfarro * Transferencia Electrónica de Fondos * Get Paid Faster with vPay * Solicitudes de autorización através del portal * Adiestramientos regulatorios * Guías de Telemedicina y “Attestations” * Guías para la práctica clínica * Servicios de Terapia
Published on December 18, 2020
El 11 de diciembre de 2020, la Administración de Alimentos y Medicamentos (FDA) emitió una Autorización de Uso de Emergencia (EUA) para la vacuna Pfizer-BioNTech COVID-19 (BNT162b2), una vacuna de ARNm, que codifica la glicoproteina SPIKE de SARS-CoV-2, el virus que causa la enfermedad del coronavirus 2019 (COVID-19).
Published on September 15, 2020
En esta edición encontrarás: * Declaración Afirmativa * Si desea continuar participando en la red de TNPR obtenga su numero de Medicaid * Guías para la práctica clínica * Como Prevenir Fraude, Abuso, o Despilfarro * Transferencia Electrónica de Fondos * Solicitudes de autorización através del portal * Adiestramientos regulatorios * Guías de Telemedicina y "Attestations"
Published on June 25, 2020
En esta edición encontrarás: Pandemia COVID-19, Telemedicina y “Attestations”, ¿Busca una solución de telesalud para su práctica?, Equipo de Protección Personal (PPE), Relaxing telehealth regulations does not mean relaxing fraud enforcement, Transferencia Electrónica de Fondos, Programa de Pago Adelantado (APP en inglés), Documentos de Calidad, Como Prevenir Fraude, Abuso, o Despilfarro, Protocolo de protección COVID-19
Published on June 15, 2020
A continuación le enviamos un comunicado que incluye estrategias para su práctica como parte del protocolo COVID-19. Es de suma importancia lo pueda revisar para que puedan orientar a su personal.
Published on April 02, 2020
Siguiendo las guías de Medicare: Los Virtual Check-Ins, Virtual Check-Ins, E-Visits serán pagados por TNPR cuando ...
Published on March 25, 2020
Published on March 25, 2020
Published on March 10, 2020
Nuestro último boletín está fuera. En esta edición encontrarás: Códigos De Terapia, Muchas Gracias!, Transferencia de Fondos Electrónicos, Requisito De Inscripción del Proveedor de Medicaid (PEP), Modificadores Requeridos, Actualización Del Portal De NPPES, Declaración Afirmativa, Como Prevenir Fraude, Abuso, o Despilfarro
Published on January 3, 2020
CMS finalized its proposal to establish 2 new modifiers to identify services provided by physical therapist assistants (PTAs) and occupational therapy assistants (OTAs), as required by the Bipartisan Budget Act of 2018. Beginning January 1, 2020, ...
Published on October 31, 2019
Effective November 1, 2019, any claim for E&M codes (except 99201 – 99205) billed with or without a modifier 25 billed the same day as a procedure, received without the appropriate medical record documentation will result in a denial of this line item in the claim. If your claim is denied due to E&M coding rules, in order to be re-considered, your claim must be resubmitted with the required medical record documentation to substantiate the service.
Published on October 25, 2019
Our latest newsletter is out. In this edition we have: How Can I Help Prevent Fraud and Abuse?, Authorizations requests, UM Documentation Checklist, Claims & Billing Reminders, Keep your demographic information updated!, Clinical Practice Guidelines, Important things to remember when submitting credentialing documents, EFT & Regulatory Trainings, Changes?, How to use modifier 25 and Annual Quality Improvement Documents
Published on October 14, 2019
When billing office or other outpatient services for new or existing patients, KEY COMPONENTS must be fully documented in order to bill. Please read the bulletin to familiarize yourself with the key components.
Published on May 21, 2019
HS1 will assign the primary, or Account Owner, account. The Account Owner creates and assigns any other usernames for additional staff members. Employees should never share their credentials – each user should have their own username! Account credentials should not be shared amongst staff.
Published on April 18, 2019
As of June 1st, 2019, all treating providers must submit supporting documentation along with every authorization request to help you understand what is needed in every case. The guide above will help you understand what is needed in every case.
Published on August 20, 2018
Nuestro último boletín informativo de TNPR está disponible. En esta edición encontrarás: * ¿Cómo Puedo Verificar Mi Participación con Medicare? * Elegibilidad de Afiliados * Servicios a Pacientes Durante el Periodo de Emergencia * Mejorando Nuestros Procesos Gracias a Adelantos Tecnológicos * Adiestramientos Regulatorios Anuales
Published on March 28, 2018
Nuestro último boletín informativo de TNPR está disponible. En esta edición encontrarás: * Ley 14-2017 - Ley de Incentivos Para la Retención y Retorno de Profesionales Médicos * Participación con Medicare * Mantén tu Información Actualizada * Cambio de Números de Teléfono de los Representantes de Servicio de TNPR * Verificación de Listas de Exclusiones * Resultados de la encuesta del 2017
Published on May 30, 2017
We are pleased to announce the upcoming release of a new version of the Provider Web Portal (PWP). Available June 1, 2017, the new version will have a new look and new functionality that will allow you to be more effective, self-sufficient and paperless.
Published on Mar 22, 2017
Dear Provider, TNPR's latest edition of our Provider Newsletter is out. In this issue: Códigos de Evaluación*Cambios en Códigos de Evaluación*Relevo de Retención de Hacienda*Validating Your Patients Information With Their Health Plan*EDI 835 Health Care Payment/Remittance Advice*Claim Submission Reminder*New Medicare and Medicaid PT and OT evaluation and re-evaluation procedure codes for 2017*Patient access to Medical Records*Tips for a Productive Peer to Peer Review*Contact Us Information
Published on Dec 21, 2016
El Panel Editorial de Terminología de Procedimientos Actuales (CPT, por sus siglas en inglés), creó ocho (8) nuevos códigos (97161-97168) que reemplazan el conjunto de cuatro (4) códigos (97001-97004) previamente usados para los procedimientos de evaluación de Terapia Física (PT) y Terapia Ocupacional (OT).
Published on Dec 12, 2016
Effective February 1, 2017, any claim for these codes received without the required medical record documentation will result in a denial of this line item in the claim. To be considered for payment, the claim must be resubmitted with the required medical record documentation.
Published on Dec 05, 2016
Desde el 1 de enero de 2013, los Centros de Servicios de Medicare y Medicaid (CMS, por su siglas en inglés) han aplicado un requisito de recolección de datos basado en reclamaciones para servicios de terapia ambulatoria para patología de habla, disciplinas de terapia ocupacional y física) en sus solicitudes de formulario de reclamación.
Published on Nov 04, 2016
In an effort to achieve compliance with CMS Billing Requirements, Therapy Network of Puerto Rico (TNPR) is adopting the GN, GO, and GP therapy modifiers in accordance with published CMS billing requirements. Providers NEED TO USE the below modifiers on ALL THERAPY CLAIMS submitted for consideration for Speech Therapy, Occupational Therapy or Physical Therapy.
Published on Oct 17, 2016
Dear Provider, TNPR's latest edition of our Provider Newsletter is out. In this issue *Documentation Requirements For Therapy *Fraud, Waste, and Abuse (FWA) *Apollo Guidelines *Proper Use Of The 7th Character In ICD-10 *Appointment Availability *6 Points To Remember When Recredentialing
Published on Jun 08, 2016
Therapy Network of Puerto Rico (“TNPR”) has partnered with StoneEagle’s patented VPay® process to provide a faster, more efficient way to reimburse your practice for services rendered. VPay allows your practice to receive payments electronically, utilizing either a MasterCard® transaction or an ACH/EFT. Please note that the option to receive a check payment will still be available.
Published on Apr 11, 2016
Dear Provider, TNPR's latest edition of our Provider Newsletter is out. In this issue.... * Check Eligibility and Validate Your Patients Information With Their Health Plan * Rehabilitative
Published on Mar 16, 2016
Efectivo el 1ro de Abril de 2016 los códigos relacionados a procedimientos guiados por sonografía serán incluidos en la lista de servicios que no requieren preautorización para poder ser facturados por todos aquellos fisiatras que hayan pasado por el proceso de TNPR de validación de sus certificaciones.
Published on Mar 14, 2016
We are pleased to present our Provider Newsletter 2015 Summer Edition. In this Summer Edition we present the following topics, that we know are going to be of your interest: Request for Medical Records * Correct Claims Code for an Initial Visit * ICD-10 Transition update
Published on Mar 02, 2016
Beginning June 1, 2016, prescribers who write prescriptions for Part D drugs must be enrolled in an approved status or have a valid opt-out affidavit on file with Medicare in order for their prescriptions to be covered under Medicare Part D. Before opting out of Medicare, you should consider the following impacts:
Published on Feb 17, 2016
What's ahead for your next Medicare enrollment revalidation? Learn what you need to do and about the new resources available to help you stay on top of the process every step of the way. Join CMS experts as they discuss the timing, improvements, and updates for the second round of revalidations required by the Affordable Care Act and 42 CFR §424.515. A question and answer session will follow the presentation.