In Billing
Oct 11th, 2018
Valid claims submitted by physical therapists (PTs) in private practice are being denied by some Part B Medicare Administrative Contractors (MACs), according to the Centers for Medicare & Medicaid Services (CMS). These claims are for the professional component (PC) or global code for certain diagnostic services involving electromyography (EMG), nerve conduction velocity (NCV), and sensory-evok...
In Audit
Mar 23rd, 2018
A medical review conducted by the Office of Inspector General (OIG) found 61 percent of claims (out of 300 sampled) for outpatient physical therapy services did not comply with Medicare medical necessity, coding, or documentation requirements. Although the Centers for Medicare & Medicaid Services (CMS) generally disagreed with OIG’s findings, a review of the requirements ...
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 ...
Feb 18th, 2016
It’s common practice for providers to market their services on the Internet. But if you’re going to include patient testimonials, you’d better read up on HIPAA Privacy regulations. Complete PT, Pool & Land Physical Therapy, Inc., of Los Angeles, learned that lesson the hard way. PHI Includes Identity According to reports, the provider has agreed ...
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 ...