medicare payments Archives | PT Management

NC Medicaid Simplifies Authorization of Therapy for Adults

October 11, 2018
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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 […]

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Occupational Therapy Webinars

Supervised Exercise Therapy Approved for Medicare Patients with PAD

September 13, 2017
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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 […]

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Medicare Therapy Cap and Therapy Cap Exceptions for 2017

August 7, 2017
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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 […]

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Medicare’s Orthotic Documentation Requirements

July 10, 2017
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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 […]

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physical therapy and medicare

PQRS Reporting for 2015 to Avoid 2017 Adjustment

January 12, 2015
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CMS has announced the 2015 PQRS reporting requirements necessary to avoid a 2% adjustment (decrease) in Medicare payments in 2017.

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 […]

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