The Centers for Medicare and Medicaid Services (CMS) will be hosting a teleconference on June 21, 2018 from 2:00pm – 3:00pm eastern time on the IMPACT Act. During this call, learn more about the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act). CMS answers your frequently asked questions on quality measures, standardized data elements, the CMS data element library, and future directions of the IMPACT Act. A question and answer session follows the presentation. For additional information and to register, click HERE.

Our clinic has started getting referrals from psychologists and psychiatrists for Occupational Therapy and Speech Therapy. However, I am unclear on whether or not our insurance payers will accept a referral from theses sources and cannot seem to get a consistent answer. Do you have the answer or would you be able to point me in the right direction? The Medicare program does

Does the Medicare program pay for CPT code 97750 (physical performance test or measurement) the same day a provider also bills either a physical therapy (PT) evaluation, PT reevaluation, occupational therapy (OT) evaluation, or OT reevaluation CPT code? Of course, the answer is not as easy as a simple yes or a simple no. A certain situation must occur that will allow CPT code 97750 to be paid on the same day as a PT or OT evaluation or reevaluation CPT code. So you might ask, what is that situation? The Medicare program will pay for CPT code 97750 on

A question I often receive is can a chiropractor and/or a dentist sign an outpatient therapy plan of care for Medicare beneficiaries receiving outpatient physical, occupational and/or speech therapy services? The answer is

A question I get every so often is can a midwife sign a plan of care for a Medicare beneficiary attending outpatient therapy services. In addition, what professionals can sign an outpatient therapy plan of care? In this article, I will answer both of these questions. Midwifery education programs leading to the certified nurse midwife (CNM) and certified midwife (CM) credentials involve graduate education. Most programs require a Bachelors Degree for entry, but some will accept Registered Nurses (RNs) without a Bachelors Degree, providing a bridge program to a Bachelor of Science in Nursing (BSN) prior to the midwifery portion

UnitedHealthcare Oxford has revised their policy on electrical stimulation for the treatment of pain and muscle rehabilitation with an effective date of June 1, 2018. The revised policy discusses functional electrical stimulation (FES), neuromuscular electrical stimulation (NMES), interferential therapy (IFT) and microcurrent electrical nerve stimulation (MENS), just to name a few. The revised policy states when the various forms of electrical stimulation are and are not considered medically necessary. To access the revised policy, log into your Gold account or become a Gold Member and then click

UnitedHealthcare (UHC) has updated their coverage determination guidelines for their commercial plans for their members requiring speech language pathology services. The effective date for the revised guideline is April 1, 2018. To access the updated guideline, click

Do you have questions about the appeals process for Medicare denied claims? Check out these FAQS from First Coast Service Options.