abn | Advance Beneficiary Notice | OT Cap | PT Management

Ancillary Health Care

THE STARK EXCEPTION FOR ANCILLARY PHYSICAL THERAPY AND OTHER ANCILLARY SERVICES

June 30, 2017
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The following is a detailed explanation of the “in-office ancillary services” exception in the Stark Rules.

 

Statutory Background

Section 1877 of the Social Security Act, which is commonly referred to as the “Stark Rules,” was enacted in 1989.  As originally enacted, the Stark Rules […]

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physical therapy and medicare

PT/OT Use of Advanced Beneficiary Notice of Noncoverage (ABN)

April 3, 2015
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The following is an explanation of when you can and cannot use an Advanced Beneficiary Notice of Noncoverage (ABN) for outpatient physical and occupational therapy patients.¹

Therapists are required to issue an ABN to Medicare patients prior to providing therapy that is not medically necessary.

For […]

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