In Billing
Oct 18th, 2019
The government is keeping a close eye on how you are coding claims. Are you? The Office of Inspector General (OIG) is updating its Work Plan this month with new watch items that pertain to Medicare. At press time, there were five additional items the OIG intends to pursue in 2020. OIG Work Plan items ...
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 Audit
Sep 10th, 2012
If your office provides physical therapy (PT), speech-language pathology (SLP), or occupational therapy (OT) services, you may receive a letter titled “Notification of Request for Exception Requirements for Therapy” from the Centers for Medicare & Medicaid Services (CMS). All therapy services rendered above the $3,700 threshold set by Congress are subject to manual medical review. Beginning ...