CMS Releases Final Rule for 2017

The Centers for Medicare and Medicaid Services (CMS) has released the final rule for calendar year 2017 for services paid under the Medicare Physician Fee Schedule. The final rule addresses several important issues relevant to outpatient therapy services including, but not limited to: 2017 therapy cap dollar threshold Therapy cap exceptions process Manual medical review…

Does Medicare Require an Order for Outpatient Therapy Services

Does the Medicare program require an order from a physician or non-physician practitioner in order for a Medicare beneficiary to have an outpatient physical, occupational and/or speech therapy evaluation? The answer is two-fold dependent upon your practice setting. Lets begin with the Centers for Medicare and Medicaid Services (CMS) outpatient therapy rules and regulations. According…

New Evaluation Codes Officially Released by the AMA

On September 6, 2016, the American Medical Association (AMA) released the 2017 CPT codes used by providers to bill insurance carriers for services rendered, including outpatient physical, occupational and speech therapy services. For physical and occupational therapy, there are significant changes regarding their current evaluation and reevaluation codes. Effective, January 1, 2017, 97001 (Physical therapy evaluation), 97002…