"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...]
Updated NCCI Edits Effective October 1 2020 – New Therapy Code Combinations
National Correct Coding Initiative (NCCI) It has been a flip-flop kind of year for the Center for Medicare & Medicaid Services (CMS) when it comes to deciding which CPT codes can and can't be billed together. These code combinations or "edits" … [Read more...]
CMS Delays Implementation Due Date For SNF Medicare Part B ABN
On August 4th, 2020, CMS released a statement stating that the 8/31/20 implementation due date for the updated CMS-R-131 Advanced Beneficiary Notice will be moved to 1/1/2021 due to the Public Health Emergency. Here is the CMS statement: To … [Read more...]
Breathe Easy! Respiratory Therapy and the MDS
Respiratory Therapy (RT) is not new to the skilled nursing facility (SNF) setting or new to the Minimum Data Set (MDS). The data for RT has been coded in Section O of the MDS for years, generating a Special Care High Nursing score...the second … [Read more...]
Medicare Part B Rules for 2019 – Short and Sweet Version
Therapists in the SNF (Skilled Nursing Facility) setting are starting out 2019 with a few less documentation requirements to worry about. Less? Now that's a first! So what's up for 2019? The Final Rule {you're starting to see the pattern that … [Read more...]
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