Blog

MEDICARE WILL PAY FOR E-VISITS BY PHYSICAL AND OCCUPATIONAL THERAPISTS

March 18, 2020
|
Comments off
|

March 2020

On
March 17, 2020, CMS issued guidance stating that Medicare will pay for PT/OT
e-visits. (This CMS guidance can be found at https://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet.)

This
CMS guidance explains that there […]

Read more

TRICARE POLICIES RE PAYMENT FOR TENS AND DRY NEEDLING

June 3, 2020
|
Comments off
|

June 3, 2020

Tricare
has recently made the following announcements regarding its TENS and dry
needling payment policies.

TENS

Effective
June 1, 2020, TRICARE will no longer cover transcutaneous electrical nerve
stimulation (TENS) for the treatment of acute, subacute, and chronic low back
pain (LBP). Health […]

Read more

New Tricare PTA/COTA Payment and Other Policies April 2020

April 28, 2020
|
Comments off
|

TRICARE has published its new policies regarding payment for
PTA/COTA services and related matters.

The PTA policy can be found at : https://manuals.health.mil/pages/DisplayManualHtmlFile/TP15/62/AsOf/TP15/C11S3_16.html

The COTA policy, which is a mirror of the PTA policy, can be
found […]

Read more

HOW TO EVALUATE AND TREAT PT PATIENTS VIA TELEHEALTH

April 16, 2020
|
Comments off
|

Questions and Answers

The following are questions
submitted in connection with the April 2 webinar titled “How to Evaluate and
Treat PT Patients via Telehealth” with answers.

What are the ranges for self-pay telehealth
sessions?
$50-$125
per session; pricing should reflect value […]

Read more

GETTING PAID FOR PT/OT TELEHEALTH AND E-VISITS

April 7, 2020
|
Comments off
|

Questions and Answers

The following are questions
submitted in connection with the April 2 webinar titled “Getting Paid for PT/OT
Telehealth and E-Visits” with answers.

I am at a hospital-based outpatient therapy
clinic at a critical access hospital. Is there […]

Read more

TRICARE WILL START PAYING FOR PTA AND COTA SERVICES March 2020

March 18, 2020
|
Comments off
|

On March 17, 2020, the Department
of Defense published final regulations stating that TRICARE will start paying
for PTA and COTA services for dates of service on and after April 17, 2020.

TRICARE will be following
Medicare supervision rules. So, a physical therapist needs to be in the […]

Read more

2020 MIPS REPORTING BY PHYSICAL AND OCCUPATIONAL THERAPISTS IN PHYSICIAN GROUPS

January 13, 2020
|
Comments off
|

Physical
and occupational therapists are included in the types of providers required to
participate in CMS’s Quality Payment Program and report Merit-Based Incentive Payment
System (“MIPS”) measures.

The
following FAQs address how inclusion of PTs and OTs for the 2020 reporting year
impacts physician groups and […]

Read more

New Dry Needling Codes

January 13, 2020
|
Comments off
|

The AMA, which issues and
provides guidance on CPT codes, has issued the following two new CPT codes for
dry needling. 

20560 Needle insertion(s)
without injection(s), 1-2 muscles20561 Needle insertion(s)
without injection(s), 3 or more muscles

Note that these codes are not […]

Read more
Biofeedback code 90911

New Biofeedback Codes

January 13, 2020
|
Comments off
|

Biofeedback
code 90911 has been deleted and replaced with the following:

90912- Biofeedback training,
perineal muscles, anorectal or urethral sphincter, including EMG and/or
manometry, when performed; initial 15 minutes of one-on-one contact with the
patient.

90913 – Biofeedback training,
perineal muscles, anorectal or urethral sphincter, including […]

Read more

2020 PT/OT Modifiers

January 13, 2020
|
Comments off
|

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 […]

Read more
1 2 3 4 5 6 7 8 9 10 Next page ›