Rehab Agencies and CORFs RTM Billing Issues
Since January 1, 2023, Rehabilitation Agencies and Comprehensive Outpatient Rehabilitation Facilities (CORFs) have been experiencing issues being reimbursed for CPT codes 98980 and 98981 for remote therapeutic monitoring management services. For Rehabilitation Agencies and Comprehensive Outpatient Rehabilitation Facilities who submitted claims to their respective Medicare Administrative Contractor containing CPT codes 98980 and 98981, they were being returned with reason code W7072.
The Centers for Medicare and Medicaid Services (CMS) was made aware of this issue and CMS has now announced a “fix” to this issue. Rehabilitation Agencies and Comprehensive Outpatient Rehabilitation Facilities must
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