NGS Updates PT/OT LCD

November 2, 2013
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Rick Gawenda
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National Government Services (NGS) has updated their outpatient PT and OT local coverage determination for private practices and non-private practices. The changes concern how often a Progress Report is due when the patient exceeds the therapy cap and required specific documentation of referring physician re-examination and re-evaluation which demonstrates the need for physical therapy services, in cases where services exceed the 90-day certification period, or where services have exceeded the therapy cap. This positive change impacts providers in the states of CT, IL, ME, MA, MN, NH, NY, RI, VT, and WI. To read the changes, click

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