A question I am often asked is what are the documentation requirements that the Centers for Medicare and Medicaid Services (CMS) requires to support outpatient physical, occupational and/or speech therapy services above the annual therapy dollar threshold. The answer is there

Palmetto has published an updated list of active medical reviews. Pertaining to outpatient therapy, 2 of the active medical reviews include CPT code 97110 (therapeutic exercise) and 97140 (manual therapy) provided in non-private practice settings. It’s important to document not just what the patient performed in therapy that visit, but what did the therapist or assistant do for the patient that visit that required the unique skills of a therapist, or an assistant under the direction and supervision of the therapist, to provide. Did the therapist or assistant provide verbal instruction and/or correction to the patient during the performance of

The Noridian Provider Outreach and Education (POE) staff is hosting the Outpatient Therapy Services webinar on October 30, 2019 at 11 a.m. CT. This event includes: Overview What is a Certification Documentation Signatures Timed Codes Common errors Resources To sign up for this webinar or other events of interest, visit the Noridian Schedule of Events.

If you provide outpatient physical, occupational and/or speech therapy services in the state of Florida to patients who are covered by UnitedHealthcare Community Plan of Florida, you will want to read this article. Prior authorization requirements for Florida effective

A question I often receive is can I bill a Medicare beneficiary who is under an outpatient therapy plan of care a cancel or no show fee (missed appointment fee)? The answer may surprise you. According to the Centers for Medicare and Medicaid Services (CMS), Medicare Claims

The Centers for Medicare and Medicaid Services (CMS) has announced that the Inpatient Rehabilitation Facility (IRF) Provider Preview Reports have been updated and are now available. Per CMS, “the data contained within the Preview Reports is based on quality data submitted by IRFs between Quarter 2 – 2018 and Quarter 1 – 2019 and reflects what will be published on IRF Compare during the December 2019 refresh of the website”. Providers will have until October 11, 2019 to review their data and can request CMS review of their data during the preview period if they believe the quality measure scores

It has been awhile since I have written an article focused on outpatient speech therapy and billing. So this week, I thought I would provide answers to some of the more common questions I receive about billing for speech therapy services. The answers I provide are based on what the Medicare Part B program allows and these answers may or may not be applicable to Medicare Advantage plans, Medicaid, managed Medicaid plans, private/commercial insurance carriers, workers compensation and automobile carriers. Here are the questions I will answer in this article: Can you be paid for CPT codes 92507 and 92526

A question I am often asked is must the therapist or assistant be one-on-one when providing work hardening or conditioning to a patient? There are 2 CPT codes that describe work hardening/conditioning used by physical and occupational therapists. The codes and descriptors are as follows: CPT code 97545 – Work hardening/conditioning; initial 2 hours CPT code 97546 – Work hardening/conditioning; each additional hour Now lets answer the question “Do CPT codes 97545 and 97546 require direct one-on-one contact”? Although these codes appear under the 97110 – 97546 heading of Therapeutic Procedures, these services do