This 2.5-hour webinar will teach participants what CPT code to bill dependent upon their intent and documentation in the medical record. The webinar will provide case scenarios to teach participants how to bill correctly to the Medicare program as well as non-Medicare insurance carriers.
Congress has passed legislation increasing Medicare payment for outpatient physical, occupational, and speech therapy provided in all outpatient therapy settings, except for a critical access hospital. In this article, I will provide my members with the estimated payment amounts beginning March 9, 2024, for the more common CPT codes billed in outpatient physical, occupational and speech therapy compared to the 2023 payment rate for each CPT code. For my examples, I used the national payment averages for each CPT code. Based on the location of your clinic/organization, your payment may be higher or lower than the national average. Click HERE … Read More
In this article, I will answer the following questions regarding providing outpatient physical, occupational, and speech therapy services via telehealth to traditional Medicare beneficiaries:
On November 2, 2023, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2024 Medicare Physician Fee Schedule (MPFS) final rule. This final rule does have regulatory and reimbursement implications for outpatient physical, occupational, and speech therapy provided in all outpatient therapy settings. In this article, I will provide my members with the estimated payment amounts for calendar year 2024 for the more common CPT codes billed in outpatient physical, occupational and speech therapy compared to the 2023 payment rate for each CPT code. For my examples, I used the national payment averages for each CPT … Read More
On November 2, 2023, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2024 Medicare Physician Fee Schedule (MPFS) final rule. This final rule does have regulatory and reimbursement implications for outpatient physical, occupational, and speech therapy provided in all outpatient therapy settings in calendar year 2024. In this article, I will inform you of what CMS finalized on the following topics:
Understanding the Complex World of Therapy Services: Documentation, CPT Coding, NCCI Edits, and Billing
This seminar will teach participants the required components of documentation, what interventions are included within each CPT code and how to correctly bill to Medicare and all other insurance carriers as they relate to outpatient therapy services.
On July 13, 2023, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2024 Medicare Physician Fee Schedule (MPFS) proposed rule. This proposed rule does have regulatory and reimbursement implications for outpatient physical, occupational, and speech therapy provided in all outpatient therapy settings. In this article, I will inform you of what CMS is proposing on the following topics:
The public health emergency (PHE) ended at the end of the day on May 11, 2023. What providers want to know is will the Medicare program continue to reimburse for outpatient therapy services delivered via telehealth after the PHE and if yes, in which outpatient settings and for how long? Several updates have occurred since I published an article on this topic back on May 4, 2023. The article has been updated twice since that date due to new information from the Centers for Medicare and Medicaid Services (CMS). Click HERE to read this article that does contain the latest … Read More