New CQ/CO Modifiers
For dates of service starting
1/1/2020, Medicare is requiring new modifiers on claims for treatment provided
by a PTA or COTA. The PTA modifier is CQ and the COTA modifier is
CO. (The GP, GO and KX modifiers […]
Blog
2020 PT/OT Modifiers
Therapeutic Activity (97530) can no longer be billed with PT/OT initial evals
CMS
slipped in surprise CCI edits that are effective for dates of service on and
after January 1, 2020. These have caught virtually everyone off guard and PTs
and OTs are likely to see notices and calls to action from the APTA, AOTA, etc.
The
most significant change […]
Medicare Documentation Requirements
Medicare
Documentation Requirements
Initial
Evaluation and POC
The
following are Medicare’s current documentation requirements for initial
evaluation and plans of care.
I. Initial Evaluation (from Medicare Benefits
Policy Manual Ch 15 Section 220.3(C))
A. General
goal is […]
Medicare Requires New CQ and CO Modifiers in 2020
August 2019
Beginning in 2020, Medicare is requiring claims to include new modifiers showing when therapy is provided by a PTA or COTA. The PTA modifier is CQ and the COTA modifier is CO. (The GP, GO and KX modifiers will continue […]
KEYS TO EFFECTIVELY DOCUMENTING OUTPATIENT THERAPY (AND AVOIDING DENIALS)
KEYS TO EFFECTIVELY DOCUMENTING OUTPATIENT THERAPY (AND AVOIDING DENIALS)
Webinar Questions and Answers
The following are questions submitted during a June 26, 2019 PT Management Support webinar on PT/OT documentation with answers.
Q: Do providers need to specify what body […]
DMEPOS Proof of Delivery Requirements
DMEPOS Proof of Delivery Requirements
This is a reminder regarding Medicare’s documentation requirements for typical off-the-shelf and custom orthotics and other “DME” supplied by orthopaedic groups. DME carriers are auditing claims and specifically requesting this documentation.
Whenever your group supplies and bills for DMEPOS, your […]
Physical Therapy Modifiers
Medicare and UHC Ease Rules for Attaching Physical Therapy Modifiers
Medicare and UHC have announced that effective for dates of service on or after July 1, 2019, their CCI Editing policy will allow modifiers 59, XE, XP, XS and XU to be appended to either code […]
CMS ANNOUNCES MOST COMMON PT/OT DOCUMENTATION ERRORS
PER COMPREHENSIVE ERROR RATE TESTING PROGRAM
CMS recently published a list of the most common PT/OT documentation errors with recommendations on how to prevent these errors. CMS’s list does not contain any surprises. It includes most of the issues that PT/OT practices deal […]
Blood Flow Restriction Training is not PT in North Carolina May 2019
The North Carolina Board of Physical Therapy Examiners addressed whether blood flow restriction training is within the scope of PT practice in NC at its meeting on September 14, 2017.
According to Board Rule 48C .0101 (a) Permitted Practice, “Physical therapy is presumed to include any acts, tests […]
MEDICARE WILL PAY FOR SUPERVISED EXERCISE THERAPY FOR PAD PATIENTS
MEDICARE WILL PAY FOR SUPERVISED EXERCISE THERAPY FOR PAD PATIENTS
February 18, 2019
Medicare recently issued guidance on providing supervised exercise therapy (in the form of physical therapy) for patients with peripheral artery disease (PAD). (copy attached)
Patients will be covered for up to […]