In Billing
Nov 21st, 2018
The 2019 Physician Fee Schedule (PFS) final rule doesn’t hold a lot of surprises for physical therapists, as the Centers for Medicare & Medicaid Services (CMS) finalized most of what they proposed for therapy services in July. To the relief of many commenters, however, there is one provision CMS didn’t follow through on — at least ...
Append seven modifiers appropriately to G codes for correct reporting of therapy services. In 2013, the Centers for Medicare & Medicaid Services (CMS) developed a system of functional reporting for therapy services. This system is used to report conditions and outcomes for patients receiving physical therapy (PT), occupational therapy (OT), and/or speech-language therapy (SLT). Indicate ...
Time to give your facility’s compliance plan an annual preventive exam. The Office of Inspector General’s (OIG’s) annual work plan reveals its plans for new, revised, and ongoing reviews and audits of U.S. Department of Health and Human Services (HHS) programs and operations. This year, OIG has set its sights on 24 significant new issues, ...
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 ...
Aug 31st, 2016
The October 2016 update to the Outpatient Prospective Payment System (OPPS) includes one new HCPCS Level II code, two deleted HCPCS Level II codes; ambulatory payment classification (APC) and status indicator (SI) changes to several drug codes; and other changes to various payment policies. New Ultrasound Code HCPCS Level II code C9744 Ultrasound, abdominal, with ...