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2013 Brings Many Changes for Therapists in the Medicare Program

 Hold onto those party hats….ringing in the New Year should definitely set off some bells and whistles for therapy providers who treat Medicare patients.   There are 2 big changes coming that are definite and one very real possibility: PQRS (Medicare Physician Quality Reporting System) Therapists who bill Medicare for outpatient therapy services in private practice […]

Billing Medicare for Non-Covered Services

Yesterday we discussed the practice of billing non-covered services under a payable code, and clearly established that such a practice would be considered fraudulent. This does not mean that the provider does not deserve to be paid for the service nor does it mean that he must automatically write the charges off as a loss. […]

Billing a Non-covered Service under a Payable Code

Can we do that? I could not begin to recount all the times I have heard healthcare providers or their staff ask if they can bill Medicare or another insurance carrier for a non-covered service that they perform, but just code it as something else so that they can get paid. It is little wonder […]