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Patient Action Alert: Stop the Therapy Cap!

The exceptions process for patients needing physical, occupational, and speech therapy beyond the capped amount ended December 31, 2009. Currently there are two therapy caps, one for physical therapy and speech therapy combined and one for occupational therapy. The 2010 therapy caps are set at $1860 per beneficiary per year. The therapy cap applies to […]

Falls Prevention Awareness Day and Physical Therapy Assessments

As the nation observes Falls Prevention Awareness Day on September 22, the American Physical Therapy Association (APTA) is urging older adults to schedule a balance and falls assessment with a physical therapist to reduce risk of falls and related injuries. Does your practice offer falls risk assessments? Are your referring Dr’s aware that you offer […]

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. […]