CMS Issues Final Rule for Services Paid Under the MPFS & MIPS for PT and OT

November 1, 2018
Rick Gawenda

On November 1, 2018, the Centers for Medicare and Medicaid Services (CMS) issued the 2019 final rule for services paid under the Medicare Physician Fee Schedule (outpatient PT, OT and SLP services) as well as the Merit-Based Incentive Payment System (MIPS) for physical therapists, occupational therapists and speech-language pathologists in private practice.

Highlights of the Final Rule include:

  • 2019 Conversion Factor
  • 2019 Therapy Threshold Dollar Amount
  • 2019 Targeted Medical Review Dollar Amount
  • Functional Limitation Reporting for 2019
  • New Modifiers to Distinguish Services Provided by a PTA or OTA
  • “In Whole or In Part” Defined of a PTA or OTA Service
  • 2019 MIPS for Physical Therapists, Occupational Therapists and Speech-Language Pathologists

Lets Begin!

2019 Conversion Factor

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