*Updated from the original publication (11/16/22) to include CMS updates resulting from new legislation. *Updated 1/10/23. Congress passed the $1.7 trillion omnibus appropriations bill 12/22/22 and the President signed into law on 12/29/22. … [Read more...]
Medicare Part B Rules for 1/1/23: Guide for SNF Therapy – Proposed Rule
CMS released the Physician Fee Schedule (PFS) Proposed Rule, or the “Medicare Part B Rules,” outlining what kicks in 1/1/23, unless changes are made prior to the release of the Final Rule later this fall. This 2,066- page document … [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...]
Medicare Part B Rules for 1/1/22: The Final Rule & SNF Therapy
On November 2nd, CMS released the Physician Fee Schedule (PFS) FINAL RULE, or the "Medicare Part B Rules" outlining what will kick in 1/1/22 for most settings that provide these services. This 2,414 page document includes information on … [Read more...]
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