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Montero Therapy and MDS Services

Toolbox – Medicare Part B Resources

  • Medicare Part B Rules (SNF, Hospital Outpatient)
    • Part B Explanation of Content  
      • Evaluations | Progress Reports | Daily Treatment Encounter Note 
      • Re-Certifications | Discharge Reports 
      • CMS Therapy Documentation Fact Sheet
  • Deductible, Coinsurance and Premium Rates for CY2025

  • Modifiers
    • KX Modifier Threshold and Manual Medical Review for 2025
    • CMS MLN Matters – PTA/ OTA Payment Differential
    • CO / CQ Assistant Therapy Modifier – Decision Tree (1/1/22)
    • Proper use of Modifier 59 

  • NCCI Edits [National Correct Coding Initiative]
    • Medicare Part B Edits for Hospital, SNF, CORF, OPT
    • Medicare Part B Edits for Practitioner/Private Practice 

  • FIND YOUR MAC (Medicare Administrative Contractor)

  • Physician Fee Schedule
  • Physician Fee Schedule LOOK UP TOOL
    • CMS Physician Fee Schedule Home Page 
  • Current Rules
    • Final Rule (CY2025) Physician Fee Schedule
      • Proposed Rule PDF Document
      • CMS Proposed Rule Fact Sheet
      • Federal Register Copy 
  • Older Rules
    • 2024 (CY2024) Physician Fee Schedule FINAL Rule
      • Rule Link
      • Fact Sheet Link
    • 2023 (CY 2023) Physician Fee Schedule Final Rule
      • Rule Link – PDF
      • Fact Sheet Link

  • SNF CPT Coding PT OT SLP- With AMA Definitions and Coding – Montero Custom Document
  • Advanced Beneficiary Notice Forms CMS-R-131 (New June 2023)
    • NOMNC, ABN, When to use and not to use – Montero Custom Document
  • New/Modifications to the Place of Service (POS) Codes for Telehealth
  • CPT Therapy Evaluation Codes – Montero Custom Documents
    • PT and OT Decision Chart for CPT Evaluation Codes by Complexity
    • PT Decision Chart and Documentation Tool – Eval Codes by Complexity
    • OT Decision Chart and Documentation Tool- Eval Codes by Complexity
  • Medicare Part B Therapy & Billing Triple Check Form – Montero Custom Document
  • National Correct Coding Initiative (NCCI) Edits – When to use Modifier 59 in the SNF (2024) – Montero Custom Document
  • Therapy Documentation Audit Tool (New 2025)
  • PT, OT and SLP Evaluation Templates, Progress Reports, Daily Note Templates *Only included with Documentation Course Purchase

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