DMEPOS Proof of Delivery Requirements
This is a reminder regarding Medicare’s documentation requirements for typical off-the-shelf and custom orthotics and other “DME” supplied by orthopaedic groups. DME carriers are auditing claims and specifically requesting this documentation.
Whenever your group supplies and bills for DMEPOS, your […]
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 […]
PTAs and COTAs will soon be able to treat Tricare patients.
A new law has been enacted instructing the Department of Defense to add PTAs and COTAs to its list of permitted providers. Please note that this […]
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 […]
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 As originally enacted, the Stark Rules […]
After years of legislative efforts and litigation, South Carolina orthopaedic surgery groups are finally able to provide physical therapy services to their patients. PT Management Support, which helps orthopaedic […]
Therapists are required to issue an ABN to Medicare patients prior to providing therapy that is not medically necessary.
For […]