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.

Priority Health in the state of Michigan has announced they will provide coverage for patients to access physical therapy services without requiring a referral as allowed by the law for commercial products. This is due to a state law that took effect January 1, 2015 allowing anyone to seek physical therapy services without a physician referral for up to 21 days or 10 visits, whichever comes first. Medicaid patients still require a referral for physical therapy services as mandated by the state. To access this decision, click will provide coverage for patients to access physical therapy services as allowed by

National Government Services (NGS) has issued policy education on functional limitation reporting (i.e. Medicare G-Codes) for outpatient therapy services. This education focuses on the reporting of G-codes throughout an episode of care for a Medicare beneficiary. To access the policy education, click

The Centers for Medicare and Medicaid Services has issued a change request to address the new prepayment review timeframe for Additional Documentation Requests (ADRs) submission. The change request instructs Medicare Administrative Contractors, Recovery Auditors, and Comprehensive Error Rate Testing contractors to allow

Noridian Healthcare Solutions, Medicare Administrative Contractor for the states of Alaska, Arizona, California, Hawaii, Idaho, North Dakota, Nevada, Oregon, South Dakota, Utah, Washington, and Wyoming, has published their Medicare participating practitioner directory. The Medicare Participating Physician Directory (MEDPARD) is a list of physicians, suppliers and practitioners (Medicare health care providers including therapists in private practice) who have signed an agreement to accept assignment on all claims. Participating providers should visit the MEDPARD directory to check their practice information for accuracy. Your participation information should appear on the website defined below. Contact Provider Enrollment directly if specific information appearing is incorrect,

Noridian Healthcare Solutions will be hosting a teleconference on therapy functional reporting on February 26, 2015. This workshop is conducted through a web-based training tool which requires an Internet connection, a telephone (toll-free number), lasts approximately one hour and has been awarded 1.0 CEUs by the American Academy of Professional Coders (AAPC). The session includes: Reporting Functional Therapy Codes and Modifiers Discharge Reporting Out of Sequence Reporting of Claims Evaluation Procedures For additional information and to register, click

Noridian Healthcare Solutions will be hosting a 3-part appeals workshop series. Each workshop is conducted through a web-based training tool which requires an Internet connection, a telephone (toll-free number), lasts approximately 1.0 hours and has been awarded 1.0 CEUs by the American Academy of Professional Coders (AAPC). Appeals I – The Basics on February 26, 2015 at 1 p.m. Central Time. Appeals II – Appealing a Decision on March 2, 2015 at 1 p.m. Central Time. Appeals III – After the Appeal on March 3, 2015 at 1 p.m. Central Time. For additional information and to register, click HERE.

Wisconsin Physician Services (WPS) will provide an informative teleconference on February 12, 2015 where they will explore the different places a provider can access a patient’s therapy cap, find the Medicare “allowed” amount and discuss the process for calculating the amount that is applied. If WPS is your Medicare contractor, don’t miss this teleconference. Click HERE to register.