Wisconsin Physical Therapy Association -Medicare Reimbursement Information

Medicare Reimbursement Information

News & Documents

Posted: Jan-12-2011
From the APTA- Make sure that your Medicare Referring doctors are enrolled in Medicare's PECOS system or be subject to denial for YOUR services!
Posted: Jan-06-2011
The Medicare Therapy CAP Extension process has been renewed for 2011.
Posted: Jan-01-2011
CMS Finalizes the Conversion Factor for Medicare Payments for 2011
Posted: Dec-22-2008
Summary from APTA Audio Conference- Medicare Updates for 2009 Article Here
Posted: Aug-20-2009
Physician Quality Reporting Initiative (PQRI) 2009 Download Here
Posted: Aug-23-2009
Medicare Claim Review Programs: MR, NCCI Edits, MUEs, CERT, and RAC Article Here

Resources

Document/Link	Date	Pages Specific to PT	Comments

Pub 100-08 Medicare Program Integrity; Requirements for MD Signatures	Oct 2010
Medicare Preservation Act	August 2010		Medicare Preservation Act effecting Medicare Fee Schedule & therapy Cap
Medicare Fraud & Abuse Initiative	Aug 2010
Medicare Manual	August 2010	Opt Out of Medicare Information: Pages: 23-40 Page 26 is specific to the no-opt out for PTS currently. Opt-out for non-covered services. Page 36 ABN- Page 41 Incident To Services: Pages 78-82 Physical Therapy Coverage & Services: Pages 147-191 Documentation Requirements: See Transmittal 88 for most recent information Evaluation/Re-evaluation: 174-179 POC: 159-165 Progress Report: 179-181 Treatment Note: 184-186 DC Report: 181 Rehabilitative Therapy: 168-169 Maintenance: 169-170 Students: 186-187
Medicare Physical Therapy Supervision Requirements *	“
NPI Booklet	“
What’s New in 2010 PQRI	“
CPT/CMS Lookup
WHA PPS Outpatient 2010 Final Rule
WHA PPS Rehab 2010 Final Rule
WHA PPS SNF/Swing 2010 Final Rule
CMS Swing Bed Resource
Rick Gawenda Seminars

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