National Government Services has released their 2015 Medicare Physician Fee Schedule (MPFS) for their states where they are the Medicare Administrative Contractor. States include Connecticut, Illinois, Maine, Massachusetts, Minnesota, New Hampshire, New York, Rhode Island, Vermont, and Wisconsin. To access the MPFS, click{restrict paid=true] HERE.[/mepr-show]

Cigna Government Services, Medicare Administrative Contractor for the states of Kentucky and Ohio, has released their Medicare Physician Fee Schedule (MPFS) that is used to pay providers for outpatient therapy services. To access the MPFS and search payment for any CPT code, click

Wisconsin Physician Services (WPS), Medicare Administrative Contractor for the states of Iowa, Kansas, Missouri, Nebraska, and National Providers, has scheduled several half day live seminars for outpatient rehabilitation therapy on coverage criteria and documentation and a second seminar on billing and payment. The dates and locations are as follows: March 17, 2015 – Columbia, MO March 19, 2015 – Topeka, KS April 23, 2015 – Johnston, IA For additional information and to register for this event, click HERE.

Noridian Healthcare Solutions, Medicare Administrative Contractor in the state of Washington, has issued a notice they will perform service specific probe review of 100 IRF claims in the state of Washington. For additional information on the probe, click HERE.

Per the Centers for Medicare & Medicaid Services (CMS), standard system editing for Therapy Functional Reporting (THFR) claims has been revised. Providers should re-submit all THFR claims that may have been denied/rejected due to a missing discharge code. This is applicable to both original claim submissions as well as claim adjustments. CMS will continue to monitor the THFR reporting and will issue further instructions regarding THFR as necessary.

Noridian Healthcare Solutions, Medicare Administrative Contractor for the states of Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, and Wyoming, has released Functional Limitation Reporting (i.e. Medicare G codes) frequently asked questions (FAQs). To access the FAQs, Gold Members log in or non-members, become a Gold Member. For private practices, click

First Coast Service Options has released their August 2014 Medicare Connection newsletter for both private practices and institutional settings. For institutional providers (i.e.non-private practices), click HERE to access the newsletter. This newsletter discusses adjustments of hospital outpatient therapy claims as well as electronic claims reopenings. For private practices, click HERE to access the newsletter. This newsletter discusses clarification of the “confined to the home” definition as well as ICD-10 testing opportunities.

National Government Services will be hosting a webinar on September 23, 2014 for their outpatient PT and OT providers in the states of Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, and Vermont. For additional information and to register, click HERE.