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Now that 2020 is here, there is a new CMS rule that will affect your physical therapy practice, and it includes PTA and OTA modifiers.

Previous changes to the Medicare ID format will be required beginning January 1st, 2020. Learn more about the requirements in this article.

In this article, we will break down what was proposed for 2020, and what will actually take place (hint: it’s not what many experts were expecting).

Dry Needling Dry needling is an important part of the physical therapist scope of practice and there has been confusion in the past of how it should be coded and billed.  One of the CMS proposed rulings for 2020 could possible clarify this situation. The CMS is proposing two new CPT codes for dry needling.  […]

The 85% Ruling One of the CMS proposed rulings would go into effect on January 1st, 2022.  Any claim provided in whole or in part by a PTA or OTA, beginning on or after that date, will be paid at 85 percent of the otherwise applicable payment amount for the service. This would directly affect […]

In this article, we will examine the CQ and CO modifiers and the gray areas that exist in the new proposed CMS rules for 2020 to clarify these situations.

This article reviews the CMS proposed rule revisions for 2020 on the annual therapy threshold, use of the KX modifier and targeted medical review thresholds.

Stay up to date and get your questions answered for the new 2019 Medicare billing updates for physical therapy practices.

There are an immense amount of complex details buzzing around the MIPS program right now. We believe that it is important to keep you in the loop and at least provide some general information so you can begin preparing mentally and begin to educate yourself on the topic.