Current News

News

03/06/13

MPPR Soon To Increase

On April 1, 2013, the multiple procedure payment reduction will increase to 50% in all outpatient therapy settings who are reimbursed under the Medicare Physician Fee Schedule. The first unit of the CPT code that has the highest practice expense (PE) value will retain 100% of its value. Subsequent units of that CPT and all other CPT codes billed that day will have their PE value decreased by 50%. This will cause an approximate 6-9% reduction in your payments.

Read More
03/05/13

Indiana PT/PTA Continuing Competency

Effective February 27, 2013 all PT and PTA licensees will be required to obtain continuing competency in order to renew their license. The Committee will require all licensees to have completed

Read More
02/28/13

Sequestration Cuts Impact Therapy Payments

Without Congressional intervention by March 1, 2013, sequestration will have across the board budget cuts to every department in the federal government and will have impact on outpatient therapy services. Per the American Physical Therapy Association, sequestration will decrease Medicare payment for outpatient therapy services by

Read More
02/24/13

Cigna Updates Medical Review FAQ’s

Cigna, Medicare Administrative Contractor for the states of Ohio and Kentucky, has released a Medical Review FAQ. Even though this is for providers in Ohio and Kentucky who have Cigna as their Medicare contractor, providers in other states may find the FAQ’s helpful. To access the FAQ’s click

Read More
02/24/13

WPS Has New Appeals Address

Wisconsin Physician Services (WPS), Medicare Part A contractor for the states of Iowa, Kansas, Missouri, and Nebraska, has a new address to submit appeal requests to. This is for non-private practice settings in the above mentioned states. Send all 1st level redetermination appeals to:

Read More
02/24/13

CMS Clarifies Manual Medical Review Process for 2013

On February 21, 2013, the Centers for Medicare and Medicaid Services (CMS) clarified the manual medical review process for 2013 and the application of the therapy cap as it applies to critical access hospitals. In 2013, Medicare Administrative Contractors (MACs) will conduct

Read More
02/24/13

CMS Clarifies Manual Medical Review Process

On February 21, 2013, the Centers for Medicare and Medicaid Services (CMS) clarified the manual medical review process for 2013 and the application of the therapy cap as it applies to critical access hospitals. In 2013, Medicare Administrative Contractors (MACs) will conduct

Read More
02/15/13

Novitas Solutions Outpatient Therapy Teleconference

Novitas Solutions, Medicare Administrative Contractor for the states of Arkansas, Colorado, Delaware, Louisiana, Maryland, Mississippi, New Jersey, New Mexico, Oklahoma, Pennsylvania, Texas, and Washington DC, held a teleconference on Physical and Occupational therapy billing for private practices on January 28, 2013 and for non-private practices on January 31, 2013. Novitas Solutions has published

Read More