Noridian Healthcare Solutions will be hosting a workshop on the Medicare therapy cap exception process on August 6, 2015. The workshop will include: Therapy Cap Exception Process Accessing Therapy Limits Required Documentation Claim Submission KX Modifier Overview For additional information and to register, click HERE.

Wisconsin Physician Services will be hosting a therapy billing and payment seminar on July 15th in Portland, Oregon. The agenda will include: CMS Regulations and Coverage Resources to Understand the Billing and Payment Advance Beneficiary Notice of Noncoverage Functional Reporting Criteria The fee for this event is $65.00 per person. We now accept payments via check and credit cards through PayPal. Registration will close on 07/08/15 or when capacity is reached. Payment is due by 07/10/15. You may register up to 4 people per registration.  If you wish to register more, please complete another registration form. You may mail one

Wisconsin Physician Services (WPS) will host a webinar on Coverage Criteria and Documentation on June 18, 2015 in East Lansing, MI. The seminar will explore the coverage criteria and documentation requirements for physical therapy, occupational therapy, and speech language pathology. In this interactive session we will review the coverage criteria as well as actual documentation examples. For additional information and to register, click HERE. Wisconsin Physician Services (WPS) will host a billing and payment seminar on June 18, 2015 in East Lansing, MI. The seminar will include the following: CMS regulations and coverage, resources to understand the billing and payment, Advance

National Government Services (NGS) will host a 2-part webinar series on Outpatient Physical and Occupational Therapy Billing and Coding. Part 1 will review the Local Coverage Determinations and include information regarding medical necessity guidelines, maintenance therapy, certification and plan of care, using timed codes, initial evaluations and re-evaluations. Part 2 includes information on advanced topics such as therapy caps and the exception process, reporting of the functional G-codes, multiple procedure payment reduction (MPPR), the medical manual review process, current CERT errors and frequently asked questions. To register, click HERE.

Cahaba Government Benefit Administrators, Medicare Administrative Contractor for the states of Alabama, Georgia, and Tennessee, have published their prepayment medical review log for March 2015 and the log includes therapy services. Cahaba is conducting prepayment medical reviews in all 3 states on Inpatient Rehab services as well as all CPT codes under Physical Medicine and Rehabilitation for Part B.

Noridian Healthcare Solutions, Medicare Administrative Contractor for the states of Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, and Wyoming, will be hosting a Inpatient Rehabilitation Facility (IRF) – CERT Reviews and Findings workshop on March 03, 2015at 1:00 p.m. Central Time. The session includes: Inpatient Rehabilitation Facility (IRF) Services IRF Billing and Coding Guidelines IRF Documentation Requirements IRF Medical Necessity Criteria Reference Materials To sign up for this workshop or other workshops of interest, visit the Noridian “Workshops” page at https://www.noridianmedicare.com/parta/train/workshops/index.html.

Wisconsin Physician Services Medicare has noted recent Comprehensive Error Rate Testing (CERT) denials for Inpatient Rehabilitation Facility (IRF) services. In the majority of these cases, the CERT reviewer determined the documentation did not support that the patient participated in an intensive individual rehabilitation program as required by Medicare regulations. There were also instances where the plan of care (POC) did not document the expected amount of therapy time “by discipline” (physical therapy, occupational therapy, speech-language pathology, and orthotics/prosthetics). Click HERE to see some of the review determinations.

Noridian Healthcare Solutions, Medicare Administrative Contractor for the states of Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, and Wyoming, will be hosting a 1.5 hour workshop on March 10, 2015 on outpatient therapy. Topics will include: Functional G-Code Billing Documentation Exception Billing – KX Modifier Signature Requirements ABN Usage Resources For additional information and to register, click HERE.