May 11, 2023 is the last day of the Public Health Emergency (PHE) and the final day for the remaining associated waivers and exceptions. CMS has posted multiple resources to help in the transition.We have created a page containing all … [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...]
CMS Shares PDPM Therapy Data – Time to Recalibrate!
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 … [Read more...]
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