2016 CPT Code Changes?

CPT code additions, revisions and deletions occur every year and usually become effective January 1 of the calendar year and remain in effect the entire calendar year. The 2016 CPT coding books began arriving in mid-September to providers who ordered their books from the American Medical Association. In review of the 2016 book as the…

ICD-10 Transition Update

With the transition to ICD-10 less than 2 months away, providers still have questions concerning ICD-10 and how to use the codes in their outpatient therapy practice and/or department. Worse yet, some providers have yet to start their ICD-10 training and education as they were hoping for a delay in the implementation date. For those…

Recovery Audit Program Recent Updates

Effective June 4, 2015, The Centers for Medicare and Medicaid Services (CMS) has withdrawn the Requests for Quotes for the next round of Recovery Auditor contracts. CMS plans to update the Statement of Work and release new Requests for Proposals shortly. In the meantime, the current Recovery Auditors will continue active recovery auditing through at least…

CMS Releases 2016 Proposed Rule for Services Reimbursed Under the MPFS

On July 15, 2015, the Centers for Medicare and Medicaid Services (CMS) released the 2016 proposed rule for services reimbursed under the Medicare Physician Fee Schedule (MPFS). This proposed rule does impact outpatient therapy services provided in the following settings: Private Practice Skilled Nursing Facilities Outpatient Rehabilitation Facilities Comprehensive Outpatient Rehabilitation Facilities Home Health Agencies…