Medicare 8 Minute Rule Quiz
Test your knowledge by taking our Medicare 8 Minute Rule Quiz. There are a total of 10 questions in this quiz. Good Luck!
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2025 Changes For Therapists
There are several 2025 changes for Therapists that CMS has published in Medicare’s Final Rule that take effect on January 1, 2025. Below are some highlights of the changes that effect Therapists in 2025. Therapy KX Modifier Thresholds Medical Review Thresholds New CPT Codes for Direct Caregiver Training CMS has added three new CPT Codes
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Increase Your Patient Collections
Are you collecting all the patient fees that you have earned? Probably not, and in 2025 and beyond, this could mean the difference between your practice making a profit or losing money. But there are some simple ways to increase your patient collections. Before the Affordable Care Act, typical payments consisted of 10% from the
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Congress Reduces 2024 Medicare Payment Cuts
Congress has passed and President Biden has signed the Consolidated Appropriations Act of 2024 (H.R. 4366) that will reduce the Medicare payment cuts for Part B from 3.4% to 1.7% for the remainder of 2024. The new fee schedule will be in effect for dates of service March 9, 2024 to December 31, 2024. You
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AETNA To Adopt PTA Billing Reduction
Aetna has announced that beginning December 1, 2023, they will implement the 15% Billing Reduction for services provided by Physical Therapy Assistants and Occupational Therapy Assistants. The Billing Reduction will apply to Aetna’s commercial and Medicare businesses. Aetna will require the use of the CO and CQ modifiers to signify services furnished in whole or
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United Healthcare Medical Policy Update July 2023
United Healthcare has published Medical Policy updates effective July 1, 2023 that effect Habilitation and Rehabilitation Therapy (Occupational, Physical, and Speech). The full documentation can be found here. The policy changes effect the Commercial and Individual Exchange benefit plans. Many of the policy changes affect documentation that must be supplied to United Healthcare so it
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CMS AAPP Extended Repayment Program
As of March 30th 2021, the Centers for Medicare and Medicaid Service (CMS) has officially started the process to recover payments made to Medicare providers who received funds from CMS’ Accelerated and Advance Payments Program (CMS AAPP). Your practice’s specific repayment will begin 1 year after you received your first payment and will continue for 17
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The 8 Minute Rule – How Does It Work?
One of the most confusing aspects of Physical Therapy billing is Medicare’s 8 Minute Rule for time-based codes. Physical Therapy billing codes are either timed codes or untimed codes for billing purposes. Untimed Codes Untimed Codes are billed one unit per date of service regardless of the number of anatomical body areas treated. It does
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