We have been made aware that there is an issue with the NCCI edits related to the new therapy evaluation codes. If the code pairs below are billed on the same day, the code edits will generate an error indicating that these codes cannot be charged on the […]
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Questions & Answers on the New Physical Therapy and Occupational Therapy Evaluation Codes
QUESTION: What are the new physical therapy evaluation codes?
ANSWER: 97161 for a low complexity initial evaluation, 97162 for a moderate complexity initial evaluation, 97163 for a high complexity initial evaluation and 97164 for a re-evaluation.
QUESTION: What are the new […]
Dr. Tom Price-HHS Secretary
Dr. Tom Price, who is an orthopaedic surgeon and Republican member of the U. S. House of Representatives, has been nominated to head the Department of Health & Human Services (HHS) which includes CMS.
If confirmed, Dr. Price will be the first orthopaedic surgeon to head HHS and […]
Use of 97112 for a Non-Neuro Diagnosis
Lately, there have been some concerns about potential denials for using neuromuscular reeducation (97112) for a non-neuro dx.
Some payers are looking for a neuro diagnosis when 97112 is charged because it makes the connection simple. If you use 97112 for treating a […]
Patellofemoral Joint and Achilles Tendon Loads during Running
Evidence-Based Practice | Issue 4-2016
Patellofemoral Joint and Achilles Tendon Loads during Overground and Treadmill Running
Article. Willy, Richard W., et al., Patellofemoral Joint and Achilles Tendon Loads during Overground and Treadmill Running, Journal of Orthopaedic & Sports Physical […]
Comparing McKenzie Method to Motor Control Exercises for Low Back Pain
Evidence-Based Practice – Issue 3-2016
A Randomized Controlled Trial Comparing the McKenzie Method to Motor Control Exercises in Patients with Chronic Low Back Pain and a Directional Preference
Article. Halliday, Mark, et al., A Randomized Controlled Trial Comparing the McKenzie Method […]
MIPS Reporting Not Required in 2017 and 2018
Physical and Occupational Therapists do not need to report for MIPS in 2017 and 2018.
Beginning January 1, 2017, CMS is replacing PQRS with the Merit-Based Incentive Payment System (MIPS). MIPS is intended to be a more flexible and comprehensive quality reporting system that also […]
Eccentric Exercise and Soft Tissue Treatment (ASYTM) for Insertional Achilles Tendinopathy
Evidence-Based Practice – Issue 2-2016
Eccentric Exercise Versus Eccentric Exercise and Soft Tissue Treatment (ASYTM) in the Management of Insertional Achilles Tendinopathy: A Randomized Controlled Trial
Article. McCormack JR, et al., Eccentric Exercise Versus Eccentric Exercise and Soft Tissue […]
2016 PQRS Reporting for Orthopaedic Groups
PT Management Support Systems, which provides physical therapy consulting and management services for orthopaedic groups, is providing the following guidance regarding how orthopaedic groups should handle their PQRS reporting for 2016.
At the beginning of 2015, we recommended that orthopaedic groups use the group practice reporting […]
Medicare Therapy Caps and Manual Medical Review for 2016
Introduction
This article addresses the 2016 Medicare Therapy caps for outpatient physical, occupational and speech therapy, together with the cap exceptions, manual medical review process and proper use of ABNs in connection with the caps.
For 2016, the therapy cap for occupational therapy (OT […]