Current News

Updates to Our Provider Web Portal

  • Provider Relations
  • May 30, 2017
  • PDF

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.

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2016 Q4 Newsletter

  • Provider Relations
  • Mar 22, 2017
  • PDF

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

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

  • Provider Relations
  • Dec 21, 2016
  • PDF

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).

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Evaluation and Management Payment Guidelines

  • Provider Relations
  • Dec 12, 2016
  • PDF

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.

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Códigos G Para Informes Funcionales

  • Provider Relations
  • Dec 05, 2016
  • HTML

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.

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Medicare Mandatory Modifiers

  • Provider Relations
  • Nov 04, 2016
  • PDF

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.

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Q2 Newsletter

  • Provider Relations
  • Oct 17, 2016
  • PDF

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

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VPay Implementation

  • Provider Relations
  • Jun 08, 2016
  • PDF

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.

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Q1 Newsletter

  • Provider Relations
  • Apr 11, 2016
  • PDF

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

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Facturacion De Procedimientos Guiados Por Sonografia

  • Provider Relations
  • Mar 16, 2016
  • PDF

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.

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Q4 Newsletter 2015

  • Provider Relations
  • Mar 14, 2016
  • PDF

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

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Medicare Part D Prescriber Enrollment

  • Provider Relations
  • Mar 02, 2016
  • PDF

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:

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Provider Enrollment Revalidation Call

  • Provider Relations
  • Feb 17, 2016
  • PDF

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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