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01/15/24

How to Bill for a Therapist Who is Not Yet Credentialed with the Insurance Carrier

So, you have hired a new therapist in your practice and you are eager for them to begin treating patients and generating revenue for your practice. You have begun the credentialing process to get the new therapist enrolled in the Medicare program and with your other private/commercial insurance carriers. The new therapist starts seeing patients who are insured by Medicare and other private/commercial insurance carriers prior to their Medicare enrollment being approved and the private/commercial insurance companies credentialing them and adding them to your practice. In this article, I will answer the following questions:

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01/08/24

Supervision Requirements of an Assistant in 2024

In this article, I will answer the following questions regarding the supervision requirements of a physical therapist assistant (PTA) by a physical therapist (PT) and an occupational therapy assistant (OTA) by an occupational therapist (OT) under Medicare Part B outpatient therapy services for calendar year 2024:

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12/25/23

What CPT Codes are Unable to Be Billed on the Same Day by Speech-Language Pathologists?

I receive many questions from speech-language pathologists (SLPs) on what CPT codes can be provided and reimbursed on the same date of service by the Medicare program. In this article, I will answer the following questions regarding what traditional Medicare will and will not reimburse on the same date of service when provided by a speech-language pathologist (SLP). Keep in mind that Medicare Advantage plans, Medicaid and Managed Medicaid plans, and commercial insurers may or may not follow what traditional Medicare does and does not allow.

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12/18/23

New Caregiver Training Services CPT Codes

Effective with dates of service on and after January 1, 2024, there will be 3 new CPT codes for caregiver training services (CTS). In this article, I will answer the following questions as they pertain to CTS:

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12/11/23

Medicare Payments 2020 – 2022

In this article, I will provide information on the number of units billed for the most common CPT codes billed by physical therapists, occupational therapists and speech-language pathologists to the Medicare program for calendar years 2020, 2021, and 2022. I will also provide you with the amount of money the Medicare program reimbursed for each CPT code for calendar years 2020, 2021, and 2022.

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12/05/23

Aetna Revises the End of Some Telemedicine Services

In September 2023, Aetna announced they will no longer reimburse for some telemedicine services for their commercial line of business. Now, Aetna has revised who these changes will apply to. In this article, I will answer the following questions, including which plans this change applies to:

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12/04/23

New Laser CPT Code for 2024

There will be a new CPT code for low-level laser in 2024. In this article, I will answer the following the questions:

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12/04/23

UnitedHealthcare Oxford December 2023 Policy Update

UnitedHealthcare (UHC) Oxford has retired the following policy that impacts physical and occupational therapy:

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