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 Audit
Sep 19th, 2014
By Lynn S. Berry, PT, CPC When Medicare published the Medicare Provider Utilization and Payment Data: Physician and Other Supplier Look-Up Tool earlier this year (with data from 2012), we advised our physical therapy (PT) clients to go to the website, put in their NPI numbers or names, and see where their Medicare billing stood in ...
In Audit
May 1st, 2014
Use the latest OIG work plan to amp up your compliance plan and audit efforts. By Michael D. Miscoe, JD, CPC, CASCC, CUC, CCPC, CPCO The U.S. Department of Health & Human Services Office of Inspector General (OIG) has released its annual work plan, outlining the new and ongoing hot spots for healthcare fraud and abuse ...
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...
Mar 1st, 2013
By Lynn S. Berry, PT, CPC Over the last three decades, there has been remarkable change in therapy services billing rules due to legislative efforts to bring the cost of health care down and to pay for the quality (rather than quantity) of care. Therapists must juggle clinical concerns with documentation burdens to meet the ...