Current News

2023 Q1 Newsletter

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.


2022 Q4 Newsletter

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.


2022 Q3 Newsletter

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.


Modificadores que se deben utilizar en los servicios de terapia

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.


2022 Q2 Newsletter

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.


2022 Q1 Newsletter

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.


2021 Q4 Newsletter

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


2021 Q3 Newsletter

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


2021 Q2 Newsletter

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


2021 Q1 Newsletter

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


2020 Q4 Newsletter

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


Proveedores de Vacuna COVID-19

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).


2020 Q3 Newsletter

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"


2020 Q2 Newsletter

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


Estrategias Durante 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.


Guías y Declaración/Certificación (actualizada)

Published on April 02, 2020

Siguiendo las guías de Medicare: Los Virtual Check-Ins, Virtual Check-Ins, E-Visits serán pagados por TNPR cuando ...


Contactos De Emergencias

Published on March 25, 2020


Medicare Fact Sheet

Published on March 25, 2020


2020 Q1 Newsletter

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


Claims & Billing Reminders

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, ...


Evaluation and Management Payment Guidelines

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.


2019 Q4 Newsletter

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


Evaluation & Management New & Established Patient Table

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.


Our Provider Web Portal and Its Security Features

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.


Required Documentation for All Authorization Requests

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.


2018 Q3 Newsletter

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


2018 Q1 Newsletter

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


Updates to Our Provider Web Portal

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.


2016 Q4 Newsletter

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


2017 Actualización Anual de la Lista de Códigos de OT y PT

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).


Evaluation and Management Payment Guidelines

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.


Códigos G Para Informes Funcionales

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.


Medicare Mandatory Modifiers

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.


Q2 Newsletter

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


VPay Implementation

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.


Q1 Newsletter

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


Facturacion De Procedimientos Guiados Por Sonografia

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.


Q4 Newsletter 2015

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


Medicare Part D Prescriber Enrollment

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:


Provider Enrollment Revalidation Call

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.

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