Reaffirm your knowledge of ICD-10-CM codes and the more specific E/M PT/OT codes introduced in 2017. Coding for physical and occupational therapy (PT and OT) requires an understanding of ICD-10-CM guidelines, and a firm knowledge on how to bill units of timed and untimed therapy CPT® codes. ICD-10 Considerations In therapy encounters, there is often ...
In Billing
Dec 3rd, 2014
The 2015 therapy cap for combined physical therapy and speech-language pathology services is $1,940. For occupational therapy, the cap for 2015 is $1,940, also. Physicians, therapists, and other providers who supply therapy services for Medicare patients should ensure that billing staff is aware of these changes. The therapy cap applies to home health and hospice ...
In Audit
Oct 28th, 2014
Physical therapy has made it in the Office of Inspector General’s (OIG’s) work plan for several years running. With medical reviewers on the lookout for high utilization of outpatient physical therapy services, coders and billers need to be vigilant about how their physical therapists are documenting services. Per Chapter 15, Section 220.1.1 of the Medicare ...
In Billing
Feb 3rd, 2014
Replacing Category III code 0183T, new CPT® medicine code 97610 Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day has been added to Medicare’s list of designated “sometimes therapy” services, effective Jan. 1, 2014. “This is low frequency, non-contact, non-therm...
In CMS
Jun 26th, 2013
Patients caught in a Catch-22 requiring them either to improve when receiving physical therapy (PT) or skilled nursing services, or to lose Medicare coverage for the services, will see the double-bind end soon, thanks to a settlement in a suit against Health and Human Services (HHS) Secretary Kathleen Sebelius this year. The class action suit, ...