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.
Medicare Definition of a Treatment Day Outpatient Physical Therapy
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,...
Can a physical therapist bill Medicare for a progress note?
Can a physical therapist bill Medicare for a progress report or discharge summary? No, a physical therapist can not bill Medicare for a progress note. It is important you realize a progress note is not a physical therapy reevaluation. A progress...
PT School: (5) Great Reasons NOT to Go and (1) Reason to Go
1. The Crushing Debt No surprise here, the debt associated with PT school is crushing the life out of many new graduate DPTs. The Student Loan Planner website published that the average physical therapist debt is approximately $96,000. A 2020 APTA...
