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 billed on the same date of service and by the same therapist as CPT Code 97140 some therapists recently have reported non-payments when these two CPT Codes are billed on the same date of service to Unitedhealthcare without the 59 modifer.
2022 Medicare Site Visit for New Physical Therapy Private Practice
Medicare Site Visit Checklist for Physical Therapists in Private Practice: Signage Hours of Operation Confirmation that you are open for business. Confirm that you are treating patients at the clinic. I have completed over 200 Medicare provider...
Add a Pickleball Program to GROW Your Physical Therapy Business
Why Add a Pickleball Program to your Physical Therapy Practice? Pickleball is blowing up in popularity. The APTA recently published an article on the topic and large national fitness clubs are adding pickleball courts faster than tennis or other...
What is Medicare MPPR Reason Code 59
The Medicare Multiple Procedure Payment Reduction (MPPR) is a reimbursement reduction that applies when to billable services when multiple services are furnished by the same provider to the same patient in the same session on the same day. How does...
