Centers for Medicare and Medicaid Services (CMS) released the Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) FY2023 Proposed Rule containing the components that will go into effect 10/1/22 pending any … [Read more...]
PHE Officially Renewed for the 9th Time!
PHE Renewed Through Mid-Summer On April 12, 2022, the Department of Health and Human Services released a declaration of renewal of the National Public Health Emergency (PHE) which will be in effect for another 90 days, starting … [Read more...]
PHE and Waivers Officially Renewed for the 8th Time
On January 14, 2022, the Department of Health and Human Services released a declaration of renewal of the National Public Health Emergency (PHE) which will be in effect for another 90 days, starting January 16th, ending April 15th. This declaration … [Read more...]
Medicare Part B NCCI Edits Effective Jan 1st 2022 – SNF Therapy Update
"Can we bill these 2 codes together?" "Is modifier 59 required?" "Will Medicare Part B pay for these therapy services?" Knowing what Current Procedural Terminology (CPT) Codes can and cannot be billed together, and when a modifier is … [Read more...]
CO & CQ Therapy Modifiers: What, When, Where, Why and How?
The CO and CQ modifiers have been in use since 1/1/20, albeit in "practice mode." Beginning 1/1/22, use of these modifiers translates to the dreaded 15% payment reduction for any therapy "services" provided by an assistant that meet CMS's definition … [Read more...]
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