This 1.5 hour online course will teach participants about topics that are typically not taught in onsite seminars, at national conferences and definitely not in college. Topics include medicare enrollment, Qualified Medicare Beneficiary program, multiple procedure payment reduction, and how payment is determined for each CPT code.
Michigan BCBS is implementing a change that will impact the income per visit for outpatient therapy services. This change will impact all outpatient therapy settings, including hospitals. Beginning with dates of service on and after
BCBS of North Carolina is implementing a new policy that will have a financial impact on outpatient therapy services. In this article, I will answer the following questions:
This 1-hour webinar will teach participants what the multiple procedure payment reduction (MPPR) policy is, how MPPR is applied to the CPT codes by the Medicare contractor, how to calculate the MPPR reduction, and how MPPR impacts all therapy disciplines provided the same date of service by the same practice or organization.
Update as of September 8, 2022 at 12:00pm ET BCBS of MI has placed the MPPR implementation on hold. This information was not placed in the August or September 2022 editions of the “The Record”, but has been confirmed by multiple sources. I will provide updated information and resources when available. BCBS of Michigan has announced they will align with the Centers for Medicare and Medicaid Services and implement the multiple procedure payment reduction (MPPR) policy for outpatient physical, occupational and speech therapy services. This MPPR reduction will impact BCBS commercial members. The effective date of the MPPR implementation is
On January 1, 2011, the Centers for Medicare and Medicaid Services implemented the multiple procedure payment reduction (MPPR) policy to outpatient physical, occupational and speech therapy services as well as other ancillary services. The purpose of MPPR is to reduce Medicare’s cost for these services. Even though MPPR has been around for 10 years, many therapists, office managers, billers, billing companies, practice owners, and financial analysts do not understand MPPR as it applies to outpatient therapy services. In this article, I will answer the following questions: What outpatient therapy settings does the MPPR policy apply to? Does the MPPR policy … Read More
Palmetto GBA has announced that some skilled nursing facility (SNF) type of bills (TOB) 22X and 23X and Critical Access Hospital (CAH) TOB 85x with dates of service January 1 through April 11, 2021, processed prior to April 12, 2021, did not have the Multiple Procedure Payment Reduction (MPPR) applied on them. The system was updated on April 12, 2021, when the fix was installed. These TOBs with Revenue Code 042X, 043X or 044X present with more than 1 units or Revenue Code 042X, 043X or 044X present on more than one line with the same line item date of service, are … Read More
UnitedHealthcare (UHC) has updated their Multiple Therapy Procedure Therapy Reduction policy for physical, occupational and speech-language pathology therapy services provided in the private practice setting. To access the revised policy, click HERE. This policy applies to UHC Commercial Plans. I hope you enjoyed this free article.