“Incident to Billing” for Therapy Services

Lately, I have been receiving several questions regarding “incident to billing” for outpatient therapy services provided in the private practice setting. Essentially, can the services of a physical therapist (PT), occupational therapist (OT) or speech-language pathologist (SLP) be billed incident to a physician or a nonphysician practitioner (NPP) in the private practice setting? Also, people…

SNF QRP Quality Measure User’s Manual

The Centers for Medicare and Medicaid Services (CMS) has released the new Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Measure Calculation and Reporting User’s Manual. This new manual presents methods used to calculate quality measures, including quality measure definitions; inclusion and exclusion criteria; and measure calculation specifications. To access the new manual, log into…

Can Students Treat Medicare Patients?

I receive many questions regarding the use of therapy students and therapy assistant students and can they participate in the treatment of Medicare patients? In this article, I will address the role of therapy students and therapy assistant students under Medicare Part B outpatient therapy services as well as skilled nursing facility (SNF) Part A…