Do Medicare Advantage Plans Require 10th Visit Progress Reports?
QuestionDoes the 10th visit Progress Report that applies to traditional Medicare patients also apply to all Medicare Advantage plans and their respective beneficiaries? Answer
Do Medicare Advantage Plans Require 10th Visit Progress Reports?
QuestionDoes the 10th visit Progress Report that applies to traditional Medicare patients also apply to all Medicare Advantage plans and their respective beneficiaries? Answer
Do Medicare Advantage Plans Require Signed Plans of Care?
QuestionI know traditional Medicare requires a dated signature of the physician or nonphysician practitioner (NPP) whom the Medicare beneficiary is under their care while receiving outpatient physical, occupational and/or speech therapy services. Does this same requirement apply to Medicare Advantage plans whose beneficiaries are receiving outpatient physical, occupational and/or speech therapy services? Answer
Palmetto Targeted Probe and Educate Topics
Palmetto GBA, Medicare Administrative Contractor (MAC) for the states of Alabama, Georgia and Tennessee has provided an updated list of Targeted Probe & Educate (TPE) reviews that impact outpatient physical and occupational therapy in the private practice setting and facility settings such as rehab agencies, skilled nursing facilities and hospital outpatient therapy departments. In this article, I will answer the following questions:
How Long is an Order Valid For?
One of the more frequent questions I receive has to do with how long is an order valid for from the time it is written, signed and dated by the physician. In this article, I will answer the following questions:
HHS Extends Public Health Emergency
On July 15, 2022, Xavier Becerra, Secretary of Health and Human Services, extended the public health emergency (PHE) due to COVID-19. The new expiration date is the end of the day on October 13, 2022. So what does this extension mean for outpatient physical, occupational and speech therapy services? Read below to learn more!
CMS Estimate Payment for Outpatient Therapy in 2023
On July 7, 2022, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2023 proposed rule for services reimbursed under the Medicare Physician Fee Schedule (MPFS). Click HERE to read my summary on the proposals that will impact outpatient physical, occupational and speech therapy services. Comments are due by 5:00pm on September 6, 2022. In this article, I will provide my members with the estimated payment for calendar year 2023 for the more common CPT codes billed in outpatient therapy compared to the 2022 payment rate for each CPT code. For my examples, I used Detroit,
CMS Release CY 2023 Proposed Rule for Services Reimbursed Under the MPFS
On July 7, 2022, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2023 proposed rule for services reimbursed under the Medicare Physician Fee Schedule (MPFS). Comments are due by 5:00pm on September 6, 2022. In this article, I will provide a summary regarding the following CMS proposals for CY 2023:
UnitedHealthcare July 2022 Medical Policy Updates
UnitedHealthcare (UHC) Commercial has issued a revised medical policy for UHC Community plan has issued a revised medical policy for