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Resources for Physical Therapists

Navigating Medicare Compliance Changes for 2025 with Daniel Hirsch, DPT [Video]

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Navigating Medicare Compliance Changes for 2025 with Daniel Hirsch, DPT #physicaltherapy

Join Anthony Maritato, PT, and Daniel Hirsch, DPT, as they break down the CMS Final Rule for 2025 and its implications for physical therapists. From Medicare reimbursement changes to KX modifier thresholds and compliance audits, this video covers the critical updates every PT and clinic owner needs to know. Daniel shares insights on PTA supervision changes, plan of care certification updates, and the evolving role of caregiver education codes. Learn how compliance strategies can streamline operations, mitigate audit risks, and enhance patient care.

Whether you’re a private practice owner or a Medicare participant, this discussion provides actionable advice for staying ahead in a constantly shifting regulatory landscape.

Keywords: Physical therapy compliance, Medicare updates 2025, CMS final rule, KX modifier audits, PTA supervision changes, plan of care certification, caregiver education codes, Medicare reimbursement, private practice PT, risk management.

Video Chapters and Table of Contents:
0:00 – Introduction to Daniel Hirsch, DPT and Compliance
1:05 – Background and Transition from DPT to Compliance Expert
1:30 – Overview of Risk and Compliance Analytics
1:50 – Key Changes in Medicare for 2025
2:40 – KX Modifier Thresholds and Audit Risks
4:20 – Medical Necessity and Compliance Challenges
6:10 – Comparative Billing Reports and Audit Targets
7:55 – Complexity of Patients and Severity Codes
10:30 – Understanding Medicare’s Coverage Guidelines
12:00 – PTA Supervision Changes Explained
14:20 – Plan of Care Certification Updates
18:10 – Telehealth Reimbursement Status for 2025
20:00 – Caregiver Education Codes and Their Applications
25:00 – Compliance as a Value-Added Service for Clinics
26:50 – How to Connect with Risk and Compliance Analytics

🔗 Connect with Anthony Maritato

Website: www.choosept1st.com
LinkedIn: https://www.linkedin.com/in/anthony-maritato/
Pinterest: https://www.pinterest.com/choosept1st/
Facebook: https://www.facebook.com/anthony.maritato.73

About Me:

Hi! My name is Tony Maritato, PT, and I am a physical therapist and practice owner. I created this channel, @LearnMedicareBilling, to help physical therapists, occupational therapists, and speech-language pathologists navigate the complexities of Medicare billing and reimbursement. My goal is to demystify the process and provide practical insights to help you succeed in your practice.

Over the years, I’ve expanded the channel to cover a wide range of topics related to private practice management and growth. From starting your own practice to optimizing your billing processes, you’ll find valuable content designed to support your professional journey.

Please subscribe and join our community of dedicated therapists!

If you would like to mail me:

Total Therapy Solutions
5900 Long Meadow Dr
Middletown, OH 45005

#physicaltherapymedicare #occupationaltherapymedicare #speechtherapymedicare #privatepracticegrowth #medicarebilling

[: Want to Sponsor This Channel? :]

I’m excited to offer sponsorship opportunities on the @LearnMedicareBilling YouTube channel, which focuses on private practice growth and development for PT, OT, and SLP professionals. With nearly 10,000 subscribers, our audience consists of engaged healthcare providers and business owners seeking expert advice on navigating the complexities of Medicare billing and reimbursement.

Why Sponsor Us?
Gain exposure to a targeted audience of decision-makers in the healthcare industry who are looking for solutions and tools to grow their practices.

Sponsorship and Ad Placements Available:
👉 Product shout-outs and reviews: $300
👉 Sponsored segments within videos: $250
👉 Banner ads and logo placements: $250
👉 Custom integrations tailored to your brand’s needs: Let’s Discuss

Let’s collaborate and help your brand reach the right audience!

Contact Information:
Email: tony@totaltherapysolutions.com

Categories
Resources for Physical Therapists

Supreme Court hears arguments on banning medical treatments for transgender minors [Video]

The Supreme Court is considering whether a ban on medical treatments for transgender youth violates the Constitution. The case centers on Tennessee's law but could have national implications. Roughly half of states have passed similar measures limiting gender-affirming care for minors. There were competing rallies outside of the Supreme Court on Wednesday as the conservative-leaning bench heard more than two hours of arguments. Tennessee Solicitor General Matt Rice said the states law, which bans treatments like puberty blockers and hormone therapy, is intended to protect minors from risky, unproven medical interventions. "Its application turns entirely on medical purposes, not a patient's sex. That is not sex discrimination," Rice said.Solicitor General Elizabeth Prelogar, who argued on behalf of the Biden administration, said the law violates the 14th Amendments equal protection clause because it prohibits access to treatment depending on a patients sex.The law restricts medical care only when provided to induce physical effects inconsistent with birth sex. Someone assigned female at birth can't receive medication to live as a male, but someone assigned male can. If you change the individual sex, it changes the result, Prelogar said. Prelogar said Tennessees law doesnt leave room for transgender youth, parents and doctors to consider the benefits on an individual basis. She argued West Virginias law, which creates guardrails around gender-affirming care rather than banning it, is more likely to survive heightened legal scrutiny. Justice Sonia Sotomayor inquired about the risks of not providing gender-affirming care, such as substance abuse and suicide. One of the petitioners in this case described throwing up every day and going almost mute because of his, because of their inability to speak in a voice that they could live with, Sotomayor said. Organizations like the American Medical Association and the American Academy of Pediatrics have recognized the value of gender-affirming care for minors. However, conservative justices argued there is scientific uncertainty around the long-term risks, pointing to a recent report from the UK. They also said some transgender youth end up regretting these medical interventions. Justice Brett Kavanaugh suggested lawmakers, rather than judges, are better suited to make policy decisions. The difficulty of the issue is some people are going to be harmed and then the question becomes, how does the court choose which group? Why isn't that a choice for policymakers as best they can, Kavanaugh said. Its expected to take several months for the Supreme Court to make a decision. While justices deliberate, President-elect Donald Trump could potentially shake up policies at the federal level after he takes office next year. Trump has previously said he would support national restrictions on gender-affirming care for minors.

Categories
Resources for Physical Therapists

Cash Based Physical Therapy Services with Eric Broadworth from Fuel Physical Therapy [Video]

🔗 Connect with Anthony Maritato Website: www.choosept1st.com LinkedIn: https://www.linkedin.com/in/anthony-maritato/ Pinterest: https://www.pinterest.com/choosept1st/ Facebook: https://www.facebook.com/anthony.maritato.73 About Me: Hi! My name is Tony Maritato, PT, and I am a physical therapist and practice owner. I created this channel, @LearnMedicareBilling, to help physical therapists, occupational therapists, and speech-language pathologists navigate the complexities of Medicare billing and reimbursement. My goal is to demystify the process and provide practical insights to help you succeed in your practice. Over the years, I've expanded the channel to cover a wide range of topics related to private practice management and growth. From starting your own practice to optimizing your billing processes, you'll find valuable content designed to support your professional journey. Please subscribe and join our community of dedicated therapists! If you would like to mail me: Total Therapy Solutions 5900 Long Meadow Dr Middletown, OH 45005 #physicaltherapymedicare #occupationaltherapymedicare #speechtherapymedicare #privatepracticegrowth #medicarebilling [: Want to Sponsor This Channel? :] I'm excited to offer sponsorship opportunities on the @LearnMedicareBilling YouTube channel, which focuses on private practice growth and development for PT, OT, and SLP professionals. With nearly 10,000 subscribers, our audience consists of engaged healthcare providers and business owners seeking expert advice on navigating the complexities of Medicare billing and reimbursement. Why Sponsor Us? Gain exposure to a targeted audience of decision-makers in the healthcare industry who are looking for solutions and tools to grow their practices. Sponsorship and Ad Placements Available: 👉 Product shout-outs and reviews: $300 👉 Sponsored segments within videos: $250 👉 Banner ads and logo placements: $250 👉 Custom integrations tailored to your brand's needs: Let's Discuss Let’s collaborate and help your brand reach the right audience! Contact Information: Email: tony@totaltherapysolutions.com

Categories
Resources for Physical Therapists

How to Get Started with a Reactive Step Trainer [Video]

🔗 Connect with Anthony Maritato Website: www.choosept1st.com LinkedIn: https://www.linkedin.com/in/anthony-maritato/ Pinterest: https://www.pinterest.com/choosept1st/ Facebook: https://www.facebook.com/anthony.maritato.73 About Me: Hi! My name is Tony Maritato, PT, and I am a physical therapist and practice owner. I created this channel, @LearnMedicareBilling, to help physical therapists, occupational therapists, and speech-language pathologists navigate the complexities of Medicare billing and reimbursement. My goal is to demystify the process and provide practical insights to help you succeed in your practice. Over the years, I've expanded the channel to cover a wide range of topics related to private practice management and growth. From starting your own practice to optimizing your billing processes, you'll find valuable content designed to support your professional journey. Please subscribe and join our community of dedicated therapists! If you would like to mail me: Total Therapy Solutions 5900 Long Meadow Dr Middletown, OH 45005 #physicaltherapymedicare #occupationaltherapymedicare #speechtherapymedicare #privatepracticegrowth #medicarebilling [: Want to Sponsor This Channel? :] I'm excited to offer sponsorship opportunities on the @LearnMedicareBilling YouTube channel, which focuses on private practice growth and development for PT, OT, and SLP professionals. With nearly 10,000 subscribers, our audience consists of engaged healthcare providers and business owners seeking expert advice on navigating the complexities of Medicare billing and reimbursement. Why Sponsor Us? Gain exposure to a targeted audience of decision-makers in the healthcare industry who are looking for solutions and tools to grow their practices. Sponsorship and Ad Placements Available: 👉 Product shout-outs and reviews: $300 👉 Sponsored segments within videos: $250 👉 Banner ads and logo placements: $250 👉 Custom integrations tailored to your brand's needs: Let's Discuss Let’s collaborate and help your brand reach the right audience! Contact Information: Email: tony@totaltherapysolutions.com