In Billing
Apr 5th, 2018
The Office of Inspector General (OIG) did a study of physical therapy claims and documentation for Medicare patients and issued a report this month in March. Their findings are of great concern for the PT and rehabilitation specialty. The OIG reviewed claims from 2013 and found that 61 percent of the Medicare claims for outpatient PT services ...
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 ...
2017 CPT® codes more accurately report and justify reimbursement for providers of physical medicine. New physical therapy (PT), occupational therapy (OT), and athletic training (AT) evaluation codes are the first significant changes to CPT® physical medicine and rehabilitation codes in two decades. Far more numerous, informational, and specialty-focused, the new evaluation codes solve a long-time ...
Before you decide, consider the benefits and drawbacks. By Kim Cohee, DPT, PT, MBA, OCS Specialty programs in the rehabilitation setting have become increasingly popular in the past decade. Offerings vary and include clinics and programs specific to running injuries, cycling injuries, Pilates, women’s health, throwing injuries, dancing injuries, and so on. If you can ...