The June 2017 quarterly Inpatient Rehabilitation Facility (IRF) Compare refresh, including quality measure results based on data submitted to CMS between September 1, 2015, and March 31, 2016, is available.To find and compare inpatient rehab facilities based on infection rates, readmissions and more, click HERE.
I am often asked what CPT code do we use to bill for the time we spend establishing, modifying and teaching a home exercise program or other education and training provided to a patient and/or their caregiver (ie. spouse, parent, etc.) that is receiving therapy services from our practice or organization? Caregiver training could include teaching the caregiver how to perform bed mobility and transfers with the patient. It could include teaching the caregiver how to assist the patient up and down the steps using an assistive device. It could include teaching the caregiver compensatory swallowing strategies to use with the patient when the patient is eating and/or drinking. The answer depends on the education and training you are providing.
First off, there is no home exercise or patient education CPT code. You are to bill for the time spent teaching the patient and/or caregiver the exercise program or other education provided under
Lately, I have been receiving questions regarding group therapy and is group therapy (CPT code 97150 for physical and occupational therapy and CPT code 92508 for speech therapy) payable by the Medicare program and other insurance carriers. Also, people have been asking what’s the difference between group therapy and individual therapy, what are the requirements for group therapy and can I do individual therapy on the same day I do group therapy on a patient.
Lets first talk about Medicare and group therapy in the outpatient setting. The Medicare program does
If you watched the Olympics in the summer of 2016 and especially Michael Phelps, you may be aware of a procedure that he and some of the other swimmers had performed on them called Cupping Therapy. Cupping therapy is an ancient form of alternative medicine in which a therapist puts special cups on your skin for a few minutes to create suction. Cupping therapy helps with pain, inflammation, blood flow, and as a type of deep-tissue massage.
If a therapist performs cupping therapy as part of a physical therapy plan of care, what CPT code should this be billed under? Is manual therapy the appropriate code or is it considered a type of massage? According to the American Medical Association (AMA), the correct CPT code to bill is
Per the American Medical Association (AMA), CPT code 97799 is defined as “Unlisted physical medicine/rehabilitation service or procedure”. CPT code 97799 would be used when the therapy service or procedure provided is not described by a more specific CPT code.
Examples of services or procedures that would be billed using CPT code 97799 would include
The Initial Preventive Physical Examination (IPPE) is also known as the “Welcome to Medicare Preventive Visit.” The goals of the IPPE are health promotion, disease prevention, and detection. Medicare pays for one IPPE per beneficiary per lifetime for beneficiaries within the first 12 months of the effective date of the beneficiary’s first Medicare Part B coverage period. Click HERE to access a printer friendly version of what is and is not included in the IPPE and share this information with your patients who are newly enrolled in the Medicare program.