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With April 1st right around the corner, Medicare will start sending beneficiaries their new Medicare cards. CMS will continue to issue the new cards in several waves over the coming months. Below is a quick overview of what states are included in each wave and a general timeline of when you can expect your patients […]
In the coming weeks, CMS will start rolling out new Medicare numbers for each beneficiary. If you provide physical therapy services to Medicare patients, below are the top 5 things you should know. So in conclusion, we recommend that all physical therapy providers start requesting a copy of the most recent Medicare card issued to their patients […]
There were multiple changes made to the 2018 Medicare fee schedule – some that will work in your favor and another that will not. Let’s start with a simple breakdown on how the Medicare fee schedule is determined: Payment = Conversion Factor * (RVU [Practice Expense] + RVU [Work Expense] + RVU [Malpractice]) Conversion Factor: […]
Every Medicare beneficiary has an annual deductible that must be met prior to Medicare making payment for services. The deductible amount for 2018 is $183. What Does this Mean? This means that a beneficiary must receive $183 worth of services before Medicare will make payment to a provider. This service doesn’t necessarily need to be physical therapy visits, […]
Click Here to read the most recent update! For physical and speech therapy combined, the therapy cap is $2,010. For occupational therapy, the therapy cap is $2,010. The exceptions process (appendage of the KX modifier) allowing payment abovethis cap expires on December 31, 2017. Without extension, any treatment above $2,010 will be the beneficiary’sresponsibility. However, […]
Our prior focus in our blog, “The Misperception of a Physical Therapy Re-Evaluation (97002)” continues to be a very hot topic in the physical and occupational therapy industry. Since publishing that blog several years ago, the physical and occupational evaluation codes have changed. The edit specific to revaluations is that the original CPT code of […]