tci Medicare Compliance & Reimbursement - 2008 Issue 20

Billing: Medicare Offers Updated Physical Therapy Coding And Billing Rules

Personnel qualifications, policies change in Transmittal 88 If you thought CMS' therapy billing regs were scant and difficult to find, think again -- CMS has issued a 53-page transmittal that spells out just about everything you need to bill for therapy services.Key to the new transmittal: CMS issued Transmittal 88 on May 7, and it offers updates to the outpatient rehab policies.Treatment plan specifics: CMS now specifies that the therapy duration is the number of weeks, or the number of treatment sessions, "for THIS PLAN of care." In addition, CMS notes, "the frequency or duration of...

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