Can Therapists Utilize Aides/Techs with Aetna Patients?
QuestionDoes Aetna allow a physical therapist (PT) to utilize a rehab aide/tech to provide delegated patient-related tasks to an Aetna beneficiary receiving outpatient physical therapy services under their direct supervision and bill for those services to Aetna? Answer I hope you found this article helpful to your practice or organization. Thank you for being a Gold Member!
NCCI Edit Changes for Aetna, Cigna and Humana
Aetna, Cigna and Humana have all announced changes to their respective policies related to the National Correct Coding Initiative (NCCI) procedure-to-procedure (PTP) edits and the payment of a CPT code(s) that has had modifier 59 appended to it on the claim form. These positive changes would not have occurred without the advocacy of the American Physical Therapy Association (APTA). Aetna Aetna has informed Cigna According to Humana Humana has informed I hope you found this article and information helpful. Thank you for being a Gold Member!
Aetna Telehealth Update: January 2021
Aetna has announced they have extended their coverage of telehealth services for physical, occupational and speech therapy for their Commercial and Medicare Advantage plans. The extended coverage end date is I hope you found this information helpful. Thank you for being a Gold Member!
Aetna to Reactivate Billing Modifiers 25, 59 and X series
Aetna has announced they will reactivate edits when a CPT code on the claim form contains billing modifiers 25, 59 or X series (XE, XP, XS, XU). This reactivation will apply to the states of I hope you found this article helpful. Thank you for being a Gold Member!
July 2020 Telehealth Updates
With the Secretary of the Department of Health and Human Services extending the Public Health Emergency (PHE) due to the COVID-19 pandemic, many private practices as well as facilities and organizations want to know what does this mean for the extension of providing outpatient therapy services via telehealth. In this article, I will provide updates on outpatient therapy services delivered via telehealth for the traditional Medicare Part B program and some of the larger national insurance carriers. Medicare (Traditional) Aetna Anthem BCBS of Colorado Anthem BCBS of Connecticut Anthem BCBS of Georgia Anthem BCBS of Indiana Anthem BCBS of Kentucky
Aetna Extends Telehealth Coverage Timeframe
Aetna’s expansion of telehealth services to include outpatient physical, occupational and speech therapy services was due to expire on June 4, 2020. Due to the continued COVID-19 Public Health Emergency, Aetna will now cover outpatient physical, occupational and speech therapy delivered via telehealth until I hope you found this article helpful. Thank you for being a Gold Member!
Aetna Updates CPT Codes That Can Be Delivered via Telehealth
On May 12, 2020, Aetna updated the list of CPT codes that can be delivered via telehealth and paid for by Aetna for both Aetna Commercial plans and Aetna Medicare Advantage plans. CPT codes that were added include In addition, check out my FAQs on Aetna and telehealth that I published on April 23, 2020. I hope you found this article helpful. Thank you for being a Gold Member!
Aetna Expands Telehealth Services to Outpatient Therapy
Last week, Aetna announced they were expanding telehealth services to outpatient therapy services until June 4, 2020. That’s the good news! Now for the not-so-good news. Try finding this announcement anywhere on the Aetna website. Lucky for you as a Gold Member, I will give you the step-by-step instructions how to access this announcement from Aetna and get the reference that you need. As an Aetna provider, you must I hope you found this article helpful. Thank you for being a Gold Member!