by Medical Billing | Apr 20, 2017 | Medicare payment basics
New Therapy Cap Process: Frequently Asked Questions What is the new Therapy Cap process? Answer: Starting October 1, 2012, claims for patients who meet or exceed $3,700 in therapy expenditures will be subject to prior authorization. For outpatient therapy...
by Medical Billing | Sep 4, 2016 | Medicare payment basics
CPT CODE, DESCRIPTION AND FEE amount 97760 – Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(s), lower extremity(s) and/or trunk, each 15 minutes – Average Fee amount -$40 97761 –...
by Medical Billing | Sep 3, 2016 | Medicare payment basics
CPT CODE 64550 – Application of surface (transcutaneous) neurostimulator – Average fee amount $17 Billing Codes physical and occupational therapists must use the appropriate CPT® and HCPCS codes 64550, 95831-95852, 95992, 97001-97799 and G0283, with...
by Medical Billing | Jul 15, 2016 | Medicare payment basics
Coverage Indications, Limitations, and/or Medical Necessity Notice: It is not appropriate to bill Medicare for services that are not covered (as described by this entire LCD) as if they are covered. When billing for non-covered services, use the appropriate modifier....
by Medical Billing | Jul 3, 2016 | Medicare payment basics
When billing home health services to Florida Blue, revenue codes and CPT/HCPCS should be reported using the most current publications. The matrix below indicates the commonly used the revenue codes to be used in billing home health/home infusion services. • Multiple...
