News & Articles

CMS Repeals crucial edits

APTA and its members engaged in extensive advocacy efforts to convince CMS to rethink its decision. On January 24, CMS announced that it would do away with the most problematic changes and, for the most part, return to the coding rules PTs used in 2019. What it means: PTs will be able to return to billing for therapeutic activities (97530) delivered on the same day to the same patient as PT or occupational therapy evaluations billed under codes (97161, 97162, 97163, 97165, 97166, 97167). PTs (and occupational therapists) will also be allowed to return to billing the group therapy code (97150) with those evaluation codes. Keep in mind: There are still lots of details to be worked out, including the timeline for CMS to notify Medicare Administrative Contractors of the change, and whether it’s retroactive. Additionally, a few of the January 1 restrictions remain, primarily related requirements around the use of the 59 modifier/X modifier. CMS has not yet shared details on effective date and the process for implementation of the changes. In a January 24 letter to APTA and other associations, Cathy Cook, MD, medical director of CMS coding contractor Capitol Bridge, wrote that “after reviewing this issue more closely, CMS has made the decision to retain the edits that were in effect prior to January 1, 2020.” The return to the pre-January 1 coding environment reverses a CMS National Correct Coding Initiative edit that prevented PTs and OTs from billing for therapeutic activities (97530) if any of the PT or OT evaluation codes were billed the same day for the same patient. That prohibition crossed disciplines that...

Palmetto GBA will host Ask the Contractor Teleconferences (ACTs)

Palmetto GBA will host Ask the Contractor Teleconferences (ACTs) on various topics throughout the year. Mark your calendars now so that you don’t miss a chance to learn valuable information about how Medicare guidelines affect your practice! Benefits of Attending Teleconferences Save time and money. You can dial in directly from your office at no charge and with no travel time. Learn from others. Teleconference participants learn from each others’ discussions and receive useful clarification regarding different Medicare policies and initiatives. We answer provider/supplier questions associated with coverage, guidelines and reimbursement. If you subscribe to our free email update service, we will notify you in advance of all the important details All materials that are developed for the ACTs are available on our website at Workshop Handouts Questions and answers will also be posted after the teleconferences Palmetto GBA will host Ask the Contractor Teleconferences (ACTs) on various topics throughout the year. Mark your calendars now so that you don’t miss a chance to learn valuable information about how Medicare guidelines affect your practice! Benefits of Attending Teleconferences Save time and money. You can dial in directly from your office at no charge and with no travel time. Learn from others. Teleconference participants learn from each others’ discussions and receive useful clarification regarding different Medicare policies and initiatives. We answer provider/supplier questions associated with coverage, guidelines and reimbursement. If you subscribe to our free email update service, we will notify you in advance of all the important details All materials that are developed for the ACTs are available on our website at Workshop Handouts Questions and answers will also be posted...

CSM Meetings – Denver CO

APTA Combined Sections Meetings are scheduled in Denver, Colorado February 12 – 15, 2020. Register HERE Future dates: CSM 2020 – Feb 24 – 27 – Orlando, Florida CSM 2022 – Feb 1 -4 – San Antonio, Texas CSM 2023 – Feb 22 – 25 – San Diego, California CSM 2024 – Feb 14 – 17 – Boston, Massachusetts...

New CCI Edits!!

Effective January 1, 2020 Physical and Occupational therapy when providing an initial evaluation you cannot provide therapeutic activities (code 97530 ) and  therapeutic procedures, group, 2 or more individuals  (code 97150) during the same visit. When providing manual therapy (code 97140) you must include a 59 modifier.  The modifier that’s used to indicate that a code represents a service that is separate and distinct from another service to which it is paired. You can see all the CCI edits...

MIPS – Are you Required or Eligible to report?

Although you checked in December 2019, check again (and maybe again) on your status to report.  Check using each physical therapist NPI number.    Click HERE to check your status

Submit 2019 MIPS – Submission is open

PERFORMANCE YEAR 2019 Submission Window is Open You can now sign in to submit your PY 2019 data.  Data can be submitted and updated any time unit March 31, 2020, 8PM EDT when the submission window closes. You can also opt-in to participate in MIPS if you meet certain criteria. Click HERE to create a log in to submit your data or to...

Medicare Quality Programs: Transitioning from PQRS to MIPS Call — January 24

uesday, January 24 from 2 to 3:30 pm ET To register or for more information, visit MLN Connects® Event Registration. During this call, find out how to complete the final reporting period for the legacy Medicare quality reporting programs and transition to the Merit-based Incentive Payment System (MIPS). A question and answer session follows the presentation.   Agenda: Wrapping Up the 2016 Program Year for the Physician Quality Reporting System (PQRS), Medicare Electronic Health Record (EHR) Incentive Program, and Value-Based Payment Modifier (VM) Transitioning to MIPS   Timeline for PQRS, EHR, VM, and MIPS programs with submission timeframes and other key milestones Resources Target Audience: Physicians, Accountable Care Organizations; Medicare eligible professionals; therapists; medical group practices; practice managers; medical and specialty societies; payers; and insurers. This MLN Connects Call is being evaluated by CMS for CME and CEU continuing education credit (CE). Refer to the call detail page for more information....

2015 Physician Quality Reporting System Feedback Reports and 2015 Annual Quality and Resource Use Reports Available Soon

The 2015 Physician Quality Reporting System (PQRS) feedback reports will be available in September 2016 for individual eligible professionals (EPs) and PQRS group practices. The PQRS feedback reports will provide the final determination on whether or not participants met the PQRS criteria for avoiding the 2017 PQRS negative payment adjustment. Detailed information about the quality data submitted by the provider is also included.  The 2015 PQRS feedback reports reflect data from the Medicare Physician Fee Schedule (PFS) claims received with dates of service from January 1, 2015 – December 31, 2015 that were processed into the National Claims History (NCH) by February 26, 2016. A PQRS feedback report will be generated for each Taxpayer Identification Number/National Provider Identifier (TIN/NPI) combination that reported PQRS data or that submitted Medicare PFS claims that included denominator-eligible events but did not submit PQRS data. The feedback reports will include all measures reported by the NPI for each submission mechanism used. The data in these reports may help an individual EP or PQRS group practice determine whether or not it is necessary to submit an informal review request. Detailed submission information for PQRS group practices that submitted via the GPRO Web Interface will be available in the Quality and Resource Use Reports (QRURs).  Additional information about the 2015 PQRS feedback reports and how to request an informal review will be available on the PQRS website and through the QualityNet Help Desk at 1-866-288-8912 or qnetsupport@hcqis.org.  The 2015 Annual Quality and Resource Use Reports (QRURs) will also be available in September 2016  for groups with 2 or more EPs and solo practitioners. Groups and solo...

2016 PQRS Reporting Measures Series, Session 3: MAV and How to Get Started

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce the third session of a three-part Virtual Office Hours series regarding 2016 Physician Quality Reporting System (PQRS) quality measures. The series includes three separate sessions that cover topics related to PQRS measures, measure-specific definitions, measures-related resources, and next steps for participating in 2016 PQRS.

CMS Announces the PQRS Web-Based Measure Search Tool

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce the availability of the new Physician Quality Reporting System (PQRS) Web-Based Measure Search Tool located directly at https://pqrs.cms.gov/#/home and via the PQRS Measures Codes webpage.This tool will assist eligible professionals (EPs) and PQRS group practices with easily identifying claims and registry measures that may be applicable, and help find measures that meet satisfactory reporting requirements for the 2016 PQRS program year. Users may search measure-related keywords as well as search and filter important measure-related information such as: • Measure Number• Reporting Methods• National Quality Strategy (NQS) Domain• Cross-Cutting Measures• Measure Steward The PQRS Web-Based Measure Search Tool allows users to click on a measure to view the individual claims and registry measure specifications available for 2016.For further assistance or questions regarding measures, contact the QualityNet Help Desk at 1-866-288-8912 or via the e-mail address:...

Medicare Secondary Payer (MSP) Basics Webinar

Register for the CGS J15 Part A webinar “Medicare Secondary Payer (MSP) Basics” scheduled January 14, 2016 from 10 – 11:30 am CST (9 – 10:30 am EST). This webinar is designed as a ‘BASICS’ session. New and experienced staffs may benefit from the event. Discussion will include: MSP laws; MSP types; the Benefits Coordination & Recovery Center’s (BCRC’s) role; the Medicare Secondary Payer Questionnaire (MSPQ) and which insurer should be primary or secondary. Read more and register now! (hold control down and click on this...

Authorization required for WV Molina Providers

All Molina Medicaid patients, traditional and alternative plan must be per-authorized as of October 1st. The initial evaluation does not need to be pre-authorized.  Forms can be found in the Members Section / Documents

Anthem OrthoNet Authorzations Mandatory

Effective November 1, 2015, Anthem Blue Cross and Blue Shield (Anthem) will implement a physical therapy (PT) and occupational therapy (OT) benefit management program for outpatient and office services. In order to help us effectively administer this program, we have contracted with an external vendor, OrthoNet LLC, to work with us on this initiative. The program will be implemented in Indiana, Kentucky, Missouri, Ohio and Wisconsin. OrthoNet will receive all requests for office and outpatient physical and occupational therapy services and review those requests for medical necessity. Beginning October 19, 2015, providers should contact OrthoNet for prior authorization requests. Providers will be notified by OrthoNet of the determination via mail and fax. Providers can contact the Anthem Provider Services phone number on the back of the member’s ID card for benefit information. They will be informed whether the OrthoNet program applies. OrthoNet will also have a list of the in-scope membership and will not provide precertification for members who are out of scope. If providers use ICR to precertify an outpatient PT/OT service, ICR will produce a message referring the provider to OrthoNet. Beginning October 19, 2015 providers can request authorizations in two ways. 1. By fax: Providers may complete the OrthoNet Fax Request Form (containing the member’s demographics and insurance information) and the PT/OT Initial Report Form or Functional Progress Chart (containing the member’s supporting clinical information). These documents are available on the OrthoNet website, www.orthonet-online.com. Providers may also use their own forms or clinical notes that will supply the same information. These documents need to be faxed to the OrthoNet Medical Management Automated Fax Request line, 844-216-1599....