The software program allows doctors to write/review/and sign off on orders electronically rather than using fax machines. It also tracks the amount of time that the doctors are spending on each patient's case and also spits out all the information at the end of the month that the phsyician needs in order to get reimbursed. This is am Amedisys program that no other competitor has. It is internet based, so technically it is not considered software perse. The physicians need to sign up for this program. The problem is that physicians end up only sending referrals to Amedisys after signing up for this program and don't send any business to the other players in the market. This, of course, is what Amedisys wants. The "kickback" is that Amedisys is helping the physician office gather the information necessary for billing purposes. This results in increased revenue for the physician and cuts down on the amount of work that the business office for that particular practice has to do. CMS is the Center for Medicare & Medicaid Services and is part of the federal government. They are the regulatory agency and they are noticing that Ameidsys is billing for services at a far higher clip than any competitor, and you really can't "out medicare" the next guy.
The PT services are starting to get noticed too. They have a new program called Balanced For Life that is vestibular balance program. The problem here is that CMS is starting to notice a huge amount of people being billed for these services. That is, they are questioning whether people truly need to be in this program. PTs, PTAs, and nurses apparently are being told to "look out" for people who "need" this program so that they can get on it. They are apparently also getting nurses to do stuff that is typically done by therapists and vice versa. By doing that, they can bill for 2 different types of service but only have to pay 1 person.
Again, I worked on the hospice side of things, which doesn't use this computer program yet and doesn't offer PT services. I'm only stating what a law office called to interview me about. My major caution about accepting a job is that they will work you to death. If you tell them that you only want to see, say, 30 people a week, they may say that's fine and hire you. however, don't be shocked if after a couple months, they start giving you a hard time and are asking you to see significantly more patients.