UnitedHealthcare Eliminates Prior Authorization for Some Outpatient Therapy Services
UnitedHealthcare (UHC) has published a list of CPT codes billed by physical and occupational therapists that will no longer require prior authorization. Continue reading below to find out which CPT codes are being removed from requiring prior authorization for the various UHC plans.
Can Assistants Write Discharge Reports?
A question I am often asked is can a physical therapist assistant (PTA) or an occupational therapy assistant (OTA) write discharge reports on Medicare beneficiaries as well as patients with commercial or other insurance coverage? The answer to this question is
Medicare Beneficiary Identifier Changing for Some Beneficiaries
The Centers for Medicare and Medicaid Services (CMS) is mailing new Medicare cards with a new Medicare Beneficiary Identifier (MBI) to approximately 47,000 Medicare beneficiaries due to a data breach. To learn what to do if your Medicare patients MBI has changed, click
FY 2024 ICD-10-CM Updates
ICD-10-CM codes are updated annually and are effect from October 1st of one year through September 30th of the following year. The fiscal year (FY) 2024 ICD-10-CM codes have been released and will be effective with dates of service October 1, 2023 – September 30, 2024.
Returned Remote Therapeutic Monitoring Management Claims
The Centers for Medicare and Medicaid Services (CMS) have issued instructions regarding remote therapeutic monitoring (RTM) management services claims that were returned in error between January 1, 2023 – June 30, 2023. In this article, I will answer the following questions:
Preoperative Evaluations FAQs
In this article, I will answer the following questions regarding preoperative evaluations:
CMS Proposes Lymphedema Coverage Guidelines and Payments
Due to passage of the Consolidated Appropriations Act, 2023, the Centers for Medicare and Medicaid Services (CMS) will begin to reimburse for lymphedema standard and custom fitted gradient compression garments and other items as determined by the Secretary of Health and Human Services (HHS) beginning January 1, 2024. On June 30, 2023, CMS released the calendar year (CY) 2024 Home Health Prospective Payment System proposed rule. In this proposed rule, CMS proposes the following regarding lymphedema compression treatment items:
CMS Releases FY 2024 IRF Final Rule
On July 27, 2024, the Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2024 Inpatient Rehabilitation Facility (IRF) final rule. To access the final rule, click HERE. To access the Fact Sheet on the FY 2024 final rule, click HERE.