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 […]
CMS AAPP Extended Repayment Program Read More »
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
The 8 Minute Rule – How Does It Work? Read More »
The UnitedHealthcare Community Plan has published an update in the September 2020 Network Bulletin that may affect your practice’s bottom line. This update is effective December 1, 2020. UnitedHealthcare has updated their list of payable codes for Outpatient Physical Therapy and Occupational Therapy Services provided in New York. Below is a table of the payable
UnitedHealthcare 2021 Update for New York Read More »
Clean claims are the holy grail of medical billing. Unfortunately, in Physical Therapy billing, there are a greater number of claim denials than in any other specialty practice. Why are claim denials so much greater in Physical Therapy? It is not because Physical Therapy claims are more complicated than other specialties, Rather, it is due
5 Reasons for Physical Therapy Claim Denials and Their Solutions Read More »
Windows 7 Support is Ending The HIPAA Security Rule requires that all software used by Covered Entities and Business Associates be kept current with updates from the software vendors. When a vendor drops support for a software program, it can no longer be used by the practice. Microsoft has announced that it will end support
Is Windows 7 HIPAA Compliant? Read More »
With the new year approaching, it is time to review your office policies and procedures to make sure your practice is getting paid for the services you perform. Every year bring new challenges and this year will be no exception. Affordable Care Act Changes The Affordable Care Act (ACA) is under attack and has recently
Getting Paid in 2019 Read More »
There are several important 2019 changes that you need to be aware of. Some are minor changes and some are major changes so here are the highlights for 2019 changes. 2019 Changes in the Medicare Cap The Medicare Cap for 2019 is $2,040 for physical therapy and speech-language pathology services and $2,040 for occupational therapy
There are several changes in the 2018 Therapy Cap for Medicare that everyone needs to be aware of going into the New Year. The 2018 Therapy Cap Good News The 2018 Therapy Cap amount for physical therapy and speech language pathology services combined as well as the cap for occupational therapy will be $2,010. This
Changes in the 2018 Therapy Cap Read More »
