CMS released the Medicare Part A Skilled Nursing Facility Prospective Payment System (SNF PPS) FY2022 Proposed Rule this week. The Rule contains the components that will go into effect 10/1/21 pending any changes made based on comments and feedback … [Read more...]
Could Your Therapy Frequency Cause a Medicare Part A Denial?
Question: If a Medicare Part A resident is receiving skilled therapy services, and does not have skilled nursing needs, what is the rule for therapy coverage? Is 1 therapy discipline required to provide services a minimum of 5 days per week, or can … [Read more...]
The “Art” of Therapy Documentation
The “art” of documentation? Yes, art…and the way things are going in the therapy world today….hopefully not a lost art! Of the 6 definitions of “art” listed in Merriam-Webster, 4 could be applied to the work that make up a part of every PT, OT … [Read more...]
Final Rule Released: SNF Therapy Professionals Guide to Medicare Part B Changes for 2021
CMS released the "Medicare Part B" Physician Fee Schedule (PFS) FINAL RULE last week outlining what will kick in 1/1/21. [Click to access Rule] This 2,165 page final rule included tying together information from the March 31st, May 8th and … [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...]
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