Nov 1st, 2012
By Kim Cohee, PT, MS, MBA, DPT, OCS Physical therapy (PT) and occupational therapy (OT) service modalities are divided into two categories: “supervised” and “constant attendance.” Modalities are typically defined as physical agents intended to effect therapeutic changes (using thermal, acoustic, mechanical, or electric energy). To report these services properly, you must understand the difference ...
Jun 1st, 2012
It’s a worthwhile venture, but document and code claims carefully to get paid. By Marty Kotlar, DC, CHCC, CBCS Adding therapeutic procedures and modalities can be a great adjunct to a chiropractic practice. Many doctors of chiropractic medicine incorporate therapeutic procedures and modalities, and most insurance carriers (except Medicare) will reimburse chiropractors for them. Supervised ...
In Billing
Mar 16th, 2012
The medical necessity of a long-standing Medicare-covered service is being reconsidered. On March 13, the Centers for Medicare & Medicaid Services (CMS) issued a proposed decision memo for transcutaneous electrical nerve stimulation (TENS) for chronic low back pain (CAG-00429N). According to the memo, the Therapeutic and Technology Assessment Subcommittee of the American Academy of Neurology ...
May 1st, 2009
Coding when a secondary insurer and Medicare disagree. By G.J. Verhovshek, MA, CPC Medicare requires providers use HCPCS Level II codes (G codes) to report a number of services for which there may be appropriate HCPCS Level I (CPT®) codes. Often, practices rely on billing software to catch such occurrences. For instance, Rich Papperman, president ...