Jul 31st, 2015
The Centers for Medicare & Medicaid Services (CMS) posted a final decision memo on the Medicare Coverage Database website July 29, 2015 regarding coverage of speech-generating devices. There has been an ongoing debate between CMS and the public regarding coverage parameters for speech-generating device coverage. Technology being what it is today, speech-impaired individuals are not ...
Apr 30th, 2015
By Renee Dustman Dedicated speech generating devices have been considered medically necessary durable medical equipment (DME) for patients with severe speech impairments since 2001. Some 15 years later, the Centers for Medicare & Medicaid Services (CMS) is acknowledging that these devices, and the way in which patients are using them to meet their medical needs, ...
Apr 1st, 2012
To keep designated health services in the clear, know Stark regulations and their exceptions. By Julie E. Chicoine, Esq., RN, CPC Physicians and their practices are undergoing increased government scrutiny with regard to their referrals and financial relationships for health care services. At the heart of this scrutiny lies the physician self-referral law, known as ...
In Billing
Apr 30th, 2010
Therapists should note a change the Centers for Medicare & Medicaid Services (CMS) recently made to billing instructions in Pub. 100-04, chapter 5, section 20.2 of the Medicare Claims Processing Manual. Effective Oct. 1, 2010, providers billing for therapy services are no longer required to report the total number of therapy visits using the following value codes: 50  ...
In CMS
Dec 30th, 2009
The exceptions to outpatient therapy caps expired on Dec. 31, 2009. Outpatient therapy service providers should not submit claims with modifier KX for services furnished on or after Jan. 1. Also effective Jan. 1, for physical therapy and speech language pathology services combined, the limit on incurred expenses is $1,860. For occupational therapy services, the ...