QuestionFor physical therapy services submitted to an insurance carrier on a 1500-claim form, how do I bill for the services provided by a physical therapist assistant? Answer I hope you found this article helpful. Thank you for being a Gold Member!

QuestionFor occupational therapy services submitted to an insurance carrier on a 1500-claim form, how do I bill for the services provided by an occupational therapy assistant? Answer I hope you found this article helpful. Thank you for being a Gold Member!

The Centers for Medicare and Medicaid Services (CMS) has published a revised edition of MLN Matters Number: MM11814 on July 16, 2020 that provides an update of the Hospital Outpatient Prospective Payment System (OPPS). This update contains information on the Telephone Services CPT codes (98966 – 98968) as well as the virtual check-in and E-Visit Level II HCPCS Codes (G2010, G2012, and G2061-G2063). Click HERE to access MM11814.

The Centers for Medicare and Medicaid has announced they expect to discontinue exercising enforcement discretion regarding medical reviews beginning on August 3, 2020, regardless of the status of the public health emergency. This includes pre-payment medical reviews conducted by MedicareAdministrative Contractors (MACs) under the Targeted Probe and Educate (TPE) program, and postpayment reviews conducted by the MACs, Supplemental Medical Review Contractor (SMRC) reviews and Recovery Audit Contractor (RAC). Click HERE to read it straight from CMS. I hope you found this information helpful.

A question I have been receiving lately is do notes written by an assistant need to be co-signed/counter-signed by the supervising therapist? For the answer to this question, you must look in 2 places and both must say either no and be silent on this question. You must first look at your I hope you found this article helpful. Thank you for being a Gold Member!

QuestionCan a Medicare beneficiary have outpatient physical and/or occupational therapy the same day they have cardiac rehab at the same facility and will both services be paid by the Medicare program? Answer I hope you found the answer, along with the resource, helpful. Thank you for being a Gold Member!

TRICARE updated their physical therapy policy manual on February 26, 2020. Updates to this manual include Transcutaneous Electrical Nerve Stimulation (TENS) and Dry Needling. In addition, TRICARE lists more than 16 interventions and services that are excluded from payment in this policy. If you treat TRICARE patients, this is a must-read policy. To access the policy, click

The Centers for Medicare and Medicaid Services (CMS) has announced they will accept interstate license compacts for Physical Therapy, Occupational Therapy and Speech Language Therapy as valid, full licenses for the purposes of meeting CMS’ federal license requirements. A physical therapist, occupational therapist or speech-language pathologist working under the authorization of a compact must meet both the licensure requirements outlined in the primary state of residence and thoseestablished by the compact laws adopted by the legislatures of the interstate compact states. CMS states that the Medicare Administrative Contractors (MACs) will accept CMS-855 enrollment applications from providers reporting an interstate license