Current News

News

12/05/22

2023 MIPS Quality Measures for Speech-Language Pathologists

In this article, I will answer the following questions:

Read More
12/05/22

2023 MIPS Quality Measures for Physical and Occupational Therapy

In this article, I will answer the following questions:

Read More
12/05/22

2023 Updates for the Merit-Based Incentive Payment System Program

In this article, I will provide you with the updates to the 2023 Merit-Based Incentive Payment System Program that will impact your 2025 calendar year reimbursement.

Read More
11/28/22

Therapeutic Exercise vs Therapeutic Activities: What’s the Difference?

If you were to ask your clinical staff if they have their patients do functional activities for 15-30 minutes during a therapy visit, my experience as a consultant tells me 100% of them would say yes. Yet, if I were to review the percentage of 97530 units billed in a calendar month, my experience tells me that percentage is under 10% and many times, under 5%. Why is that? In my opinion, therapists and assistants do not fully understand what interventions are included within the therapeutic activities CPT code and how to document to support billing therapeutic activities and they

Read More
11/28/22

CMS to Allow Audiologists to Furnish Certain Services without a Physician Order

Beginning January 1, 2023, the Centers for Medicare and Medicaid Services (CMS) will allow audiologists to furnish certain services without a physician order. In this article, I will answer the following questions:

Read More
11/14/22

CMS Estimated Payments for Outpatient Therapy in 2023

On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2023 final rule for services reimbursed under the Medicare Physician Fee Schedule (MPFS). Click HERE to read my summary on the final rule that will impact outpatient physical, occupational and speech therapy services in 2023. In this article, I will provide my members with the estimated payment amounts for calendar year 2023 for the more common CPT codes billed in outpatient physical, occupational and speech therapy compared to the 2022 payment rate for each CPT code. For my examples, I used Detroit, Michigan

Read More
11/08/22

Palmetto GBA Part A and Part B Targeted Probe and Educate Active Medical Review List

Palmetto GBA, Medicare Administrative Contractor for the states of Alabama, Georgia and Tennessee, has published their Part A and Part B Targeted Probe and Educate Active Medical Review List. If you are a non-private practice, Palmetto GBA is looking at CPT codes 97110, 97112 and 97140 when billed with and without a KX modifier. If you are a private practice, Palmetto GBA is looking at CPT codes 97110, 97112, 97140 and 97530 when billed without the KX modifier. Click HERE to view the complete list.

Read More
11/01/22

CMS Releases CY 2023 Final Rule for Services Reimbursed Under the MPFS

On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2023 final rule for services reimbursed under the Medicare Physician Fee Schedule (MPFS). In this article, I will provide a summary regarding the following CMS changes for CY 2023:

Read More