NC Medicaid Simplifies Authorization of Therapy for Adults
North Carolina Medicaid has recently simplified its PT/OT authorization rules for patients who are 21 and older. https://files.nc.gov/ncdma/documents/files/10-A_3.pdf All of the prior rules limiting the number of visits […]
Supervised Exercise Therapy Approved for Medicare Patients with PAD, Medicare Guidelines For Physical Therapy
CMS has recently concluded that supervised exercise therapy improves health outcomes for Medicare patients with intermittent claudication due to peripheral artery disease (PAD) and the this exercise therapy is at least […]
As we approach the latter months of this year, this is a reminder of how the Medicare therapy cap rules apply during 2017.
Regular Medicare Therapy Cap. The annual Medicare therapy cap is $1,980 for 2017. As in past years, the cap for physical and speech […]
June 2017
CMS has very specific documentation requirements that apply to typical off-the-shelf and custom orthotics and other “DME” supplied by orthopaedic groups and hand therapy practices. DME carriers are auditing claims and specifically requesting this documentation.
Whenever a Medicare provider supplies and bills for DMEPOS […]
While therapists only needed to report on 3 individual measures during 2014 to avoid a 2% adjustment in 2016, the 2015 reporting requirements have been increased […]
