by Anthony Maritato | Sep 11, 2022 | Medicare
United Healthcare Requires 59 Modifier for CPT Code 97530 and CPT Code 97140 Combo News 2022: Unitedhealthcare Requires 59 Modifier for Therapy Services Despite the recent changes to the NCCI edits no longer requiring CPT Code 97530 to require a 59 modifier when...
by Anthony Maritato | Sep 10, 2022 | Medicare
Physical Therapy Business Checks for Medicare PECOS It may seem a little crazy, but YES, in 2022 Medicare still expects new business owners to have paper business checks. If you are submitting your Medicare provider enrollment via PECOS you are asked to either upload...
by Anthony Maritato | Sep 7, 2022 | Medicare
Medicare’s Definition of a Treatment Day Medicare defines a treatment day as a single calendar day. A physical therapist might deliver multiple treatment sessions in a single treatment day. For the purposes of physical therapy progress reports, Medicare Part B...
by Anthony Maritato | Aug 31, 2022 | Medicare
What is the Medicare therapy threshold (formerly the therapy cap) for physical therapy in 2022? The 2022 Medicare therapy financial threshold for physical therapy is $2,150. Keep in mind that services delivered for speech-language pathology in the same calendar year...
by Anthony Maritato | Aug 18, 2022 | Medicare
How often you should submit physical therapy claims is a common question that pops up in my Medicare billing for mostly cash-based PT, OT, SLP group. I recommend you submit physical therapy claims daily UNLESS there is a reason not to do so. Submit Physical Therapy...
by Anthony Maritato | Aug 14, 2022 | Medicare
Did you know that Medicare Part B specifically pays for a licensed physical therapist to treat Medicare beneficiaries in the patient’s home without a brick-and-mortar clinic? Home-Based Outpatient Physical Therapy vs Home Health Physical Therapy in 2022 What is...
