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03/13/23

Does Aetna Medicare Advantage Follow Medicare’s “8-Minute Rule”?

In this article, I will answer the following questions:

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03/13/23

Do Medicare Advantage Plans Follow Medicare’s “8-Minute Rule”

In 2000, the Centers for Medicare and Medicaid Services (CMS) implemented what has been called “Medicare’s 8-minute rule” for the billing of 15-minute time-based CPT codes for outpatient therapy services. What providers of outpatient therapy services want to know is does Medicare’s “8-minute rule” automatically apply to all Medicare Advantage plans. In this article, I will answer the following questions:

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03/06/23

What is the Entitlement Date of a Newly Enrolled Medicare Beneficiary?

On October 28, 2022, the Centers for Medicare and Medicaid Services (CMS) issued a final rule that implements certain provisions of the Consolidated Appropriations ACT, 2021 such as revising the effective dates of coverage for a newly eligible and enrolled Medicare beneficiary. In this article, I will answer the following questions:

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02/27/23

Acute Care Documentation and Billing

I am often asked to provide webinars, seminars and consultative services on acute care/inpatient documentation and billing as they pertain to physical, occupational and speech therapy services. In this article, I will answer the following questions:

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02/20/23

Supervision Requirements of an Assistant in 2023

In this article, I will answer the following questions regarding the supervision requirements of a physical therapist assistant (PTA) by a physical therapist (PT) and an occupational therapy assistant (OTA) by an occupational therapist (OT) under Medicare Part B outpatient therapy services for calendar year 2023:

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02/13/23

Annual Therapy Update for 2023

Each year, the Centers for Medicare and Medicaid updates the list of CPT codes indicating whether they are sometimes or always therapy services. In this article, I will answer the following questions:

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02/13/23

Public Health Emergency Extended One Last Time

On February 9, 2023, Secretary of Health and Human Services, Xavier Becerra, extended the public health emergency (PHE) due to COVID-19 for one last time with an effective date of February 11, 2023. This means the PHE will end at the end of the day on May 11, 2023 and will not be extended any further. Click HERE to see the official announcement.

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02/06/23

How to Bill for Co-Treatments

In this article, I will answer the following questions regarding co-treatments in the outpatient therapy setting:

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