tci Medicare Compliance & Reimbursement - 2005 Issue 39

LONG-TERM CARE: Therapy Services Set For Billing Changes

NCCI edits could scare up cash-flow woes if providers aren't aware.Long-term care facilities that don't plan carefully in the coming weeks could be facing the specter of unpaid therapy claims come Halloween.Starting on Oct. 1, the feds will begin addressing the nursing home industry's questions about Medicare's National Correct Coding Initiative. A few short months later--commencing Jan. 1, 2006--the initiative and its payment restrictions will apply to all Part B therapy services provided in skilled nursing facilities.Other newcomers to the NCCI initiative will be comprehensive outpatient rehabilitation facilities, outpatient physical therapy and speech-language pathology providers and...

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