Unitedhealthcare (UHC) has announced they will extend telehealth access for in-network telehealth visits for outpatient physical, occupational and speech therapy services through I hope you found this article helpful. Thank you for being a Gold Member!
I receive many questions regarding is assessment time billable time for outpatient therapy services and if yes, how do I account for that time in my billing. In this article, I will provide the answers to 4 of the more common questions I receive regarding accounting for assessment time. QuestionIs assessment time billable time? Answer […]
On September 8, 2020, the American Medical Association (AMA) published an update to the Current Procedural Terminology (CPT®) code set that includes two code additions for reporting medical services sparked by the public health response to the COVID-19 pandemic. The 2 new CPT codes have been approved for immediate use and are as follows: I hope you […]
As more and more practices choose not to enroll with commercial insurance carriers, including Medicare Advantage programs, a common question I am asked is must I enroll with TRICARE to be able to provide outpatient therapy services to TRICARE beneficiaries. In this article, I will provide the answers (with resources) to some of the more […]
The Director, Defense Health Agency (DHA), has approved the creation of a demonstration to waive cost-sharing for up to three physical therapy (PT) visits for TRICARE beneficiaries with low back pain (LBP). Dates of the DemonstrationThis demonstration project will be effective Demonstration StatesThe following states were selected as demonstration states: Description of the Demonstration Provider […]
On August 3, 2020, the Centers for Medicare and Medicaid Services (CMS) issued the calendar year (CY) 2021 Proposed Rule for services paid under the Medicare Physician Fee Schedule (MPFS). This would include outpatient physical, occupational and speech therapy services provided in all settings (private practice (both therapist-owned and physician-owned, skilled nursing facilities doing Part […]
The Centers for Medicare and Medicaid Services (CMS) has reinstated many of the procedure-to-procedure (PTP) edits, known more commonly as the National Correct Coding Initiative (NCCI) edits, for physical therapy, occupational therapy, and speech therapy outpatient therapy services that they had deleted earlier this year. The reinstated NCCI edits were published by CMS on September […]
The proposed Medicare Physician Fee Schedule for 2021 is calling for an estimated 9% decrease in payment for codes tied to Part B physical, occupational and speech therapy services. I am asking you to contact your representative in the House of Representatives and your 2 United State Senators to prevent these cuts, which will reduce patient […]
Mr. Gawenda has presented nationally since 2004 and currently presents approximately 100 dates per year around the United States.