New Evaluation Codes: What is an Element?

Today is the end of the first month of 2017 and the first month of physical and occupational therapists using their respective new evaluation codes. In a previous article released earlier this month, I discussed clinical presentation and provided examples of stable and uncomplicated characteristics, evolving clinical presentation with changing characteristics, and unstable and unpredictable…

NCCI Edits Version 23.0 Update

The Centers for Medicare and Medicaid Services (CMS) released National Correct Coding Initiative (NCCI) edits Version 23.0 in November 2016 that is effective for dates of service January 1, 2017 – March 31, 2017. As expected, there were significant additions and deletions due to the new physical and occupational therapy evaluation and reevaluation CPT codes…

CMS Releases Home Health Utilization & Payment Data

The Centers for Medicare and Medicaid Services (CMS) has posted the 2014 Home Health Agency Public Use File for calendar year 2014. This file contains information on utilization, payment (Medicare payment and standard payment), submitted charges, and demographic and chronic condition indicators organized by CMS Certification Number (6-digit provider identification number), Home Health Resource Group (HHRG),…

CMS IRF Compare Website

The Centers for Medicare and Medicaid Services has released a new Compare website for Inpatient Rehabilitation Facilities (IRFs). This new website will allow patient’s and their families to find and compare inpatient rehabilitation facilities based on infection rates and more. To access the IRF Compare website, click HERE. To access the IRF Compare fact sheet,…

2017 Physician Fee Schedules Released

The Centers for Medicare and Medicaid Services released the 2017 final rule for services paid under the Medicare Physician Fee Schedule. Since its release, several of the Medicare Administrative Contractors have released fee schedules for their respective jurisdictions. Cahaba for Alabama, Georgia and Tennessee Wisconsin Physician Services for Indiana and Michigan Wisconsin Physician Services for…