In Billing
Nov 21st, 2018
The 2019 Physician Fee Schedule (PFS) final rule doesn’t hold a lot of surprises for physical therapists, as the Centers for Medicare & Medicaid Services (CMS) finalized most of what they proposed for therapy services in July. To the relief of many commenters, however, there is one provision CMS didn’t follow through on — at least ...
Mar 1st, 2013
Follow physical therapy service requirements for new G code and modifier reporting. By Lynn S. Berry, PT, CPC Editor’s Note: After this was published, G9157 was replaced by G9186 Motor speech functional limitation, projected goal status at initial therapy.  You will find more information in the Medicare Claims Processing Manual, Chapter 5. A new, claims-based ...
In Billing
Apr 27th, 2012
Suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) have been applying modifier KX Specific required documentation on file inappropriately to gain payment in the absence of required documentation, according to a recent report by the Office of Inspector General (OIG). Modifier KX Doesn’t Guarantee DMEPOS Documentation, OIG Says was last modified: April 27th, ...
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...