In Billing
May 28th, 2010
A new supplier specialty code is being established as part of new Medicare Part B policy which, effective Jan. 1, deems cardiac rehabilitation (CR) programs and intensive cardiac rehabilitation (ICR) programs covered services. The Centers for Medicare & Medicaid Services (CMS) is establishing specialty code 31 Intensive cardiac rehabilitation, effective Jan. 1, to describe the specific/unique t...
In CMS
Dec 30th, 2009
The exceptions to outpatient therapy caps expired on Dec. 31, 2009. Outpatient therapy service providers should not submit claims with modifier KX for services furnished on or after Jan. 1. Also effective Jan. 1, for physical therapy and speech language pathology services combined, the limit on incurred expenses is $1,860. For occupational therapy services, the ...
In CMS
Aug 3rd, 2009
The Centers for Medicare & Medicaid Services (CMS) is revising Section 220.6 of the National Coverage Determinaton (NCD) Manual to reflect a new coverage framework for the use of F-18 flouro-D-glucose positron emission tomography (FDG PET) in determining initial and subsequent onocologic treatment strategies, as outlined in the NCD (CAG-00181R). New FDG PET Reporting Requirements was last modif...
In CMS
Feb 24th, 2009
The Centers for Medicare & Medicaid Services (CMS) updated the outpatient therapy cap exception policy and dollar amount for 2009. Effective Jan. 1, the allowed outpatient therapy dollar limits, excluding outpatient hospital services, for physical therapy and speech-language pathology combined is $1,840 and for occupational therapy is $1,840. Providers who perform services meeting the exception...