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03/18/24

Billing for Sensory Integration

In this article, I will answer the following questions regarding billing for sensory integration:

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03/11/24

Updated Medicare Payment Amounts for Outpatient Therapy in 2024

Congress has passed legislation increasing Medicare payment for outpatient physical, occupational, and speech therapy provided in all outpatient therapy settings, except for a critical access hospital. In this article, I will provide my members with the estimated payment amounts beginning March 9, 2024, for the more common CPT codes billed in outpatient physical, occupational and speech therapy compared to the 2023 payment rate for each CPT code. For my examples, I used the national payment averages for each CPT code. Based on the location of your clinic/organization, your payment may be higher or lower than the national average. Click HERE

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03/11/24

Congress Increases Medicare Payment for Rest of 2024

Congress has passed the Consolidated Appropriations Act, 2024. This legislation has an impact on payment for outpatient physical, occupational, and speech therapy services. In this article, I will answer the following questions:

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03/04/24

Does Aetna Medicare Advantage Follow Medicare’s “8-Minute Rule”?

A question I am often asked is do all Medicare Advantage (MA) plans follow traditional Medicare’s “8-minute rule”. The answer depends on the MA plan. Regarding Aetna MA and do they follow Medicare’s “8-minute rule”, the answer is

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02/26/24

Aetna Implements Assistant Payment Reduction

Aetna has announced they will implement a payment reduction when outpatient therapy services are provided in whole or in part by a physical therapist assistant or an occupational therapy assistant. In this article, I will provide answers to the following questions:

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02/26/24

TRICARE Changes are Coming

In this article, I will answer the following questions regarding TRICARE and upcoming changes:

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02/19/24

What is CPT Code 0791T?

In this article, I will answer the following questions regarding CPT code 0791T:

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02/12/24

Do Therapists Need to Co-Sign Notes Written By an Assistant?

A question I am often is asked is does the Medicare program require notes that are written by a physical therapist assistant (PTA) or an occupational therapy assistant (OTA) be cosigned by the supervising physical therapist (PT) or occupational therapist (OT), respectively. The answer is

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