Upcoming Webinars 

Disclaimer

The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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National Correct Coding Initiative 

Upcoming Webinars

NCCI for Physical, Occupational, and Speech Therapy:

September 30th at 12:00 PM CDT

October 1st at 12:00 PM EDT

October 7th at 12:00 PM EDT

October 8th at 12:00 PM CDT

Policy for Physical Medicine and Rehabilitation - January 1, 2020 (updated yearly)

  • Multiple Evaluations on the Same Day
  • Evaluations and other Assessment Codes
  • Billing more than one Service in a 15 Minute Period
  • Re-evaluations
  • Re-evaluation and Orthotic/Prosthetic Management
  • Assistive Technology Assessment
  • Manual Therapy Techniques and Therapeutic Activities
  • Wound Debridement and Surgical Debridement
  • Cardiac Rehabilitation and other Therapy Services
  • Ultrasound and Wound Care

PTP Hospital Edits - October 1, 2020

  • Physical Therapy Evaluations
  • PT and OT Re-evaluations
  • Occupational Therapy Evaluations
  • SLP Evaluations 
  • Modalities 
  • Therapeutic Procedures
  • SLP Treatment
  • SLP Speech Generating Devices
  • ADL and Work Conditioning 
  • Wound Care
  • Biofeedback Training

PTP Practitioner Edits  - October 1, 2020

    • Physical Therapy Evaluations
    • PT and OT Re-evaluations
    • Occupational Therapy Evaluations
    • SLP Evaluations
    • Modalities 
    • Therapeutic Procedures
    • SLP Treatment
    • SLP Speech Generating Devices
    • ADL and Work Conditioning 
    • Wound Care
    • Biofeedback Training

Medically Unlikely Edits - October 1, 2020

      • Evaluations and Re-evaluations
      • Modalities
      • Therapeutic Procedures
      • Muscle and Physical Performance Testing
      • Developmental and Cognitive Skills
      • ADL and Work Conditioning
      • Wound Care
      • Biofeedback
      • Orthotics and Prosthetics

Guides Coming Soon:

Procedure-to-Procedure (PTP) Edits

Medically Unlikley Edits (MUEs)

Add-on Code Edits

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