This area of the Billing and Reimbursement site provides information on the major aspects of Medicaid related to audiology and speech-language pathology services, including audiology and speech-language pathology requirements and information for school based professionals. Behavioral Health Services | Georgia Medicaid % stream endobj State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Speech Therapy and Audiology Fee Schedule - Jan. 5, 2022 - PDF . Provider Fee Payment. check your deductible, change your Additionally, laws and regulations and insurance and payer policies are subject to change. Clinical policies are one set of guidelines used to assist in administering health plan benefits, either by prior authorization or payment rules. <> The Children's Intervention Services (CIS) Program provides coverage for restorative and rehabilitative services including audiology, health and behavior assessments, nursing services, nutrition services, occupational therapy, orthotic and prosthetic training, physical therapy and speech-language pathology. Therapy Comply does not claim copyright over US Federal and State materials. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. According to Georgia Medicaid guidelines, the children's intervention services reported with certain modifiers are limited to the assigned units for that modifier or modifier combination that are included in the Policies and Procedures Manual for Children's Intervention Services. These services are provided by speech-language-pathologists Speech_Audio_COVID_Rate_Ext FS to 1-31-22.pdf. 04/01/2023. Appropriate Use and Safety Edits: Attachment A(PDF), Pharmacy Prior Authorization and Medical Necessity Criteria (PDF). 2021 Medicaid Enhancements to Reimbursement Policies | Wellcare After dialing 1-800-273-TALK (1-800-273-8255), the caller is routed to their nearest crisis center to receive immediate counseling and local mental health referrals. This area of the Billing and Reimbursement site provides information on the major aspects of Medicaid related to audiology and speech-language pathology services, including audiology and speech-language pathology requirements and information for school based professionals. Georgia Medicaid offers benefits on a Fee-for-Service (FFS) basis or through managed care plans. We believe that this will enable you and your billing staff to better understand our claims payment process given the widespread use of these policies. The Department of Community Health (DCH) administers Medicaid reimbursement and associated policy for mental health treatment and services through partnership with The Department of Behavioral Health and Developmental Disabilities (DBHDD). An official website of the State of Georgia. Join us and watch your business grow. 2200 Research Blvd., Rockville, MD 20850 endobj If the screening is missed, it may be performed during a catch-up visit using modifier EP and HA or UA. DCH also administers Medicaid-reimbursed behavioral health services for children and eligible adults in Georgia through four (4) Care Management Organizations (CMOs). Georgia Georgia Medicaid Coverage of Therapy Services Georgia Medicaid Coverage of Therapy Services Guidance on therapy services covered through Georgia Medicaid and other important compliance issues such as enrollment, billing, audits, and managed care. According to Georgia Medicaid guidelines, early and periodic screening, diagnostic and treatment (EPSDT) services should follow the recommended age requirement indicated in the American Academy of Pediatrics (AAP) and Bright Futures 'Recommendations for Pediatric Health Care' periodicity schedule. Community providers of behavioral health services can be accessed by contacting The Georgia Crisis and Access Line (GCAL) at 800-715-4225 or via the web by visiting www.mygcal.com. According to Georgia Medicaid guidelines, as part of the EPSDT program, an inter-periodic hearing screening and a periodic preventive service for patients less than 21 years of age should not be reported on the same day. Payment will be determined based upon a review of the actual services provided to a member and will be determined when the claim is received for processing. How do I know if I am in the right place? American Speech-Language-Hearing Association Answers to frequently asked questions about Medicaid and audiology and speech-language pathology services. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> In general, Georgia set provider payments under fee-for-service. occupational therapy, and services for individuals with speech, hearing and language disorders; . Peach State Health Plan utilizes InterQualcriteria for those medical technologies, procedures or pharmaceutical treatments for which a Peach State Health Planclinical policy does not exist. By continuing to use our site, you agree to our Privacy Policy and Terms of Use. According to Georgia Medicaid guidelines, certain provider administered drugs must be reported with the National Drug Code (NDC) that corresponds directly to the drug related procedure code. Press Enter on an item's link to navigate to that page. SFY 2022 State Funds Federal Funds Total Funds Rate Additionally, the following implantable contraceptive devices and procedures should be reported with modifier FP (Service provided as part of Medicaid family planning program): According to Georgia Medicaid guidelines, hearing aid devices, items and services are not covered for patients 21 years of age or older. Enrollment Forms WellCare Health Plans is committed to continuously improving its claims review and payment processes. They are routinely updated to promote accurate coding and policy clarification. Members: 800-498-2071 x[o9?@Z&s8,fvIyPl-y$Eo*^F%-jcuS\EF?D?x*W1%Q~S{O_y"xWE}z>FwRWR,~\^/>-/RO}WJ:}Vw^FQ+(lvP,Y6G}YQ^b|8>bw%[ggQ-.qh OHay_ R,~p]/z-,/z. E\Y?>Jvubzu{D|q,[-n;+wc`l^/[tzEO~yQ-B~nv{ Bxx:#(T~e ZZ. Background Speech language pathology services include the diagnosis and treatment of speech and language disorders. The claims review process takes into consideration WellCare historical claims edits as well as edits from the following sources: WellCare payment policies focus on areas such as: Crisis Intervention Services have two main components, maximum units and modifier requirements. @,[whrDK 8v`{w)[A!#M~F1" &(BP Toll Free: (877) 423-4746. hVQo8+zz$[! Before sharing sensitive or personal information, make sure youre on an official state website. endstream endobj startxref <>/Metadata 448 0 R/ViewerPreferences 449 0 R>> The Department also received approval for quality incentives related to the Joint Commission and American Health Care Association (AHCA) Accreditation effective August 14, 2020. Reimbursement rates have been recalculated effective July 1, 2020 through June 30, 2021. The CMOs authorize and reimburse services through provider networks found here: Amerigroup: https://www.myamerigroup.com/ga/georgia-home.html, Wellcare: https://www.wellcare.com/Georgia, Peach State: https://www.pshpgeorgia.com/, Care Source: https://www.caresource.com/ga/, The National Suicide Prevention Lifeline is a United States-based suicide prevention network of 161 crisis centers that provides a 24/7, toll-free hotline available to anyone in suicidal crisis or emotional distress. These rates are inclusive of 13.37% Growth and audited 2018 GL/PL Insurance Costs. Under managed care, Georgia pays a fee to a managed care plan for each person enrolled in the plan. PDF Georgia State Board of Speech-Language Pathology/Audiology For out-of-state enrolled hospitals, payments are made at the statewide average percentage of charges paid to Georgia hospitals that are reimbursed at 85.6% of costs and are not subject to cost settlement. In turn, the plan pays providers for all of the Medicaid services a beneficiary may require that are included in the plans contract with the state. %PDF-1.7 % All rights reserved. Providers and their office staff are encouraged to use self-service channels to verify member eligibility. Reimbursement Policies. They are used to help identify whether health care services are correctly coded for reimbursement. 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. reimbursement rate is 85.6% of costs. In response to the Centers for Medicare & Medicaid Services (CMS) approval of Medicaid Section 1135 Waivers for COVID-19, the State of Georgia Department of Community Health will expedite new enrollment applications until further notice. Twitter page for Georgia Medicaid; Linkedin page for Georgia Medicaid; YouTube page for Georgia Medicaid; How can we help? If you are at an office or shared network, you can ask the network administrator to run a scan across the network looking for misconfigured or infected devices. b. Web form outage is expected around 5:30pm on April 28, 2023. Frequently Asked Questions About Medicaid Certified Home Health Agency Rates Clinical Payment Policy | Georgia Medicaid | Peach State Health Plan PDF. CPT codes are copyright 1995-2022American Medical Association. The NDC serves as a universal product identifier for drugs. Georgia Medicaid offers benefits on a Fee-for-Service (FFS) basis or through managed care plans. These reimbursement policies apply to our Georgia Medicaid plans. %PDF-1.7 Members have full access to the material and can also email us regarding any billing or compliance issue, please considerjoining todayif you need assistance. You do not have JavaScript Enabled on this browser. It is our intent to make claim payment policies that are simple to understand and in alignment with State Medicaid Manuals. Policies in the Peach State Health PlanClinical Policy Manual may have either a Peach State Health Planor a Centene heading. Principal Appropriate Utilization Group, LLC 881 Piedmont Avenue Atlanta, GA 30309 (404) 728-1974; FAX (404) 728-1975 [email protected] They include but are not limited to policies relating to evolving medical technologies and procedures, as well as pharmacy policies. Therefore, enteral nutrition supplies are recommended for denial when billed without modifier NU. Under managed care, Georgia pays a fee to a managed care plan for each person enrolled in the plan. If you do not have Adobe Acrobat Reader, you may download ithere. %%EOF Revised SFY 2023 Hospital Provider Fee Payment Schedule - Updated 11/15/22. Under the FFS model, Georgia pays providers directly for each covered service received by a Medicaid beneficiary. How you know. Georgia Medicaid Contact Medicaid Care Management Organizations (CMOs), File a Complaint about a Licensed Facility, Facebook page for Georgia Department of Community Health, Twitter page for Georgia Department of Community Health, Linkedin page for Georgia Department of Community Health, YouTube page for Georgia Department of Community Health, Ground Ambulance (Public/Private) Providers, Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC), Medicaid Sign-Up Portal (Georgia Gateway). As Georgia's Behavioral Health Authority, DBHDD provides services through a network of community providers. Additionally, monaural hearing aids, when billed, must be reported with modifier RT or LT and are limited to one unit per side in a three-year period. An official website of the State of Georgia. Georgia Medicaid Coverage of Therapy Services CPT is a registered trademark of the American Medical Association. Non-Member: 800-638-8255, Site Help | AZ Topic Index | Privacy Statement | Terms of Use 455 0 obj <> endobj 491 0 obj <>stream Clinical policies help identify whether services are medically necessary based on information found in generally accepted standards of medical practice; peer-reviewed medical literature; government agency/program approval status; evidence-based guidelines and positions of leading national health professional organizations; views of physicians practicing in relevant clinical areas affected by the policy; and other available clinical information. The three segments identify the labeler, the product, and the commercial package size. Learn moreabout how we provide comprehensive support for members. Please note that the reimbursement rate sheets (R-32) are in alphabetical order. Local, state, and federal government websites often end in .gov. According to Georgia Medicaid guidelines, the telehealth originating site facility fee must be reported with modifier EP (EPSDT program) and modifier GT (Via interactive audio or video telecommunication systems) when billed in a school setting. Section 1902(a)(30)(A) of the Social Security Act requires that such payments be consistent with efficiency, economy, and quality of care, and are sufficient to provide access equivalent to the general population. Members also have access to compliance and billing support. Medicaid Coverage of Speech-Language Pathologists and Audiologists In addition, Peach State Health Planmay from time to time delegate utilization management of specific services; in such circumstances, the delegated vendors guidelines may also be used to support medical necessity and other coverage determinations. Therefore, when crisis intervention services are billed with modifier U1, U2, U3, U4 or U5 and modifier U6, U7 or GT are not also appended, the crisis intervention services (H2011) will be recommended for denial. Policies in the Peach State Health PlanPayment Policy Manual may have either a Peach State Health Planor a Centene heading. The goals of this endeavor will be implemented. c. In addition, Peach State Health Planmay from time to time employ a vendor that applies payment policies to specific services; in such circumstances, the vendors guidelines may also be used to determine whether a service has been correctly coded. FY 2021 revised rates inclusive of 18.37% Growth and Quality Incentive Please note that the reimbursement rate sheets (R-32) are in alphabetical order. Family Planning Services have two main components, frequency limitations and modifier requirements. The Reimbursement rates for FYE June 30, 2020, are located below. An official website of the State of Georgia. Therapy Comply is a healthcare compliance firm that seeks to bring high quality web-based compliance guidance and one-on-one consulting services to small and medium size physical, occupational, and speech therapy practices. Medicaid reimbursement rates and associated policy of this program are found here: Provider Manuals. The increase will affect all services provided through the Waiver Program. Speech Therapy and Language Disorder Rehabilitation GEORGIA MEDICAID MM-0714 Effective Date: 10/01/2020 Outpatient Speech Therapy and Language Disorder Rehabilitation B. 322.9. 471 0 obj <>/Filter/FlateDecode/ID[<467E25C1DCB7FA4CA9B5341409AF092E>]/Index[455 37]/Info 454 0 R/Length 91/Prev 216195/Root 456 0 R/Size 492/Type/XRef/W[1 3 1]>>stream CPT copyright American Medical Association. 1997- American Speech-Language-Hearing Association. Office of Analytics and Program Improvement, Medicaid Promoting Interoperability Program. Required Documentation to enroll with Georgia Medicaid: PDF: 468.3: 06/20/2019 : Step By Step . Before sharing sensitive or personal information, make sure youre on an official state website. These proprietary policies are not a guarantee of payment. Copyright CareSource 2023. Reimbursement Policies | Georgia - Medicaid | CareSource Health care claims payment policies are guidelines used to assist in administering payment rules based on generally accepted principles of correct coding. According to Georgia Medicaid guidelines, the insertion of an implantable contraceptive device and the implantable contraceptive reported as part of a Medicaid family planning program is limited to once in a three-year period. PDF Attachment 4.19 - B State Georgia POLICY AND METHODS FOR ESTABLISHING NHP Rate Sheet Archive | Georgia Department of Community Health . https://suicidepreventionlifeline.org/, Local and regional calls are routed from the National Suicide Prevention Lifeline to DBHDDs Georgia Crisis and Access Line (GCAL) 1-800-715-4225 https://dbhdd.georgia.gov/access-services, Voices for Georgias Children has given permission and provided the following video on Suicide Prevention: https://vimeo.com/270156589, http://georgiavoices.org/videos/suicide-prevention-psas-2/. An official website of the State of Georgia. Please locate the pdf file where the Provider's Name would fall. All policies found in the Peach State Health Plan Clinical Policy Manual apply to Peach State Health Plan members. 04/01/2023. \ w|p&buSa!HTNH8zEl&~taFZ>qy|Zu_i-gF7*K_xhM |ykr\5fOy6wAT)+EhK4 9IOfUFJ?!A9Hkz Gv&v>QeIY1.?yL.Tv?{!% hb```a``@(Ro.00G7K{TP`^W(H@ UVfO@K4c?o!b@AYf @ M# 4 0 obj These proprietary policies are not a guarantee of payment. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. They are used to help identify whether health care services are correctly coded for reimbursement. Webinar: Medicare Advantage Compliance and Therapy Services, Webinar: Scheduling to Increase Revenue and Reduce Cancellations, Webinar: The Business of Providing PT/OT to Medicare Patients Recorded September 22, 2022, Webinar: Medicare Documentation and Billing Physical and Occupational Therapy September 8, 2022, Webinar: Remote Therapeutic Monitoring July 20, 2022, Webinar: HIPAA Recognized Security Practices, Webinar: Creating a PT/OT Bonus Plan for Your Practice, Webinar: Medicare PT/OT Services and NCCI, Webinar: Defending Your Therapy Practice from Medicare Audits, Webinar: Advising PT/OT Patients about Cannabis: Medical Marijuana and CBD, Webinar: HIPAA Risk Assessments and Mitigation, Webinar: Effective Compliance and Billing Audits for Therapy Practices, Webinar: Financial and Productivity Benchmarking for Outpatient Physical and Hand Therapy, Webinar: Adult Scoliosis Recognition and Physical Therapy Interventions, Webinar: 2022 Billing and Coding Updated for PT/OT, Webinar: CQ-CO Modifiers and Medicare in 2022, Webinar: PT/OT Burnout Resilience & Balance, Webinar: Medicare ABNs and Therapy Services, Webinar: Osteoarthritis Management by Physical Therapists, Webinar: Effective Compliance Plans for Therapy Practices, Webinar: Manual Therapy Principles of the Shoulder, Webinar: HIPAA for Physical and Occupational Therapy, Webinar: Tricare Compliance for PT and OT, Webinar: Documentation of Skilled Therapy, Webinar: Hip Stability and its Effects on Balance and Fall Prevention, Webinar: Managing Conflict Resolution for PTs and OTs, Webinar: Core Stability and its Effects on Balance and Fall Prevention, Webinar: Posture, Aging and Orthopedic Effects on Balance, Webinar: Pills and Spills An Assessment of Medications and Fall Risk in Older Patients, Alabama PT Identification and Notifications, Alabama PT Board Position Statements and Forms, Alabama OT Identification and Notification, Alabama OT Board Position Statements and Forms, Alabama SLP Board Position Statements and Forms, Alabama Covid-19 Resources for Therapy Providers, Alabama Medicaid Coverage of Therapy Services, Alaska Covid-19 Resources for Therapy Providers, Alaska Medicaid Coverage of Therapy Services, Arizona OT Identification and Notifications, Arizona Medicaid Coverage of Therapy Services, Arizona Covid-19 Resources for Therapy Providers, Arkansas Covid-19 Resources for Therapy Providers, Arkansas Medicaid Coverage of Therapy Services, California Covid-19 Resources for Therapy Providers, California Medicaid Coverage of Therapy Services, Colorado Covid-19 Resources for Therapy Providers, Colorado Medicaid Coverage of Therapy Services, Colorado Medicaid Physical and Occupational Therapy, Colorado Medicaid PT and OT Prescription and Referral, Colorado Medicaid PT and OT Documentation Requirements, Colorado Medicaid PT and OT Covered Services, Colorado Medicaid PT and OT Prior Authorization, Connecticut Medicaid Coverage of Therapy Services, Delaware Covid-19 Resources for 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Medicaid Coverage of Therapy Services, Illinois Workers Compensation Fee Schedules, Indiana Covid-19 Resources for Therapy Providers, Indiana Medicaid Coverage of Therapy Services, Indiana Workers Compensation Fee Schedules, Iowa Covid-19 Resources for Therapy Providers, Iowa Medicaid Coverage of Therapy Services, Kansas Covid-19 Resources for Therapy Providers, Kansas Medicaid Coverage of Therapy Services, Kansas Workers Compensation Fee Schedules, Kentucky OT Deep Physical Agent Modalities, Kentucky OT Low-Vision and Visual-Therapy Services, Kentucky Covid-19 Resources for Therapy Providers, Kentucky Medicaid Coverage of Therapy Services, Kentucky Workers Compensation Fee Schedules, Louisiana Covid-19 Resources for Therapy Providers, Louisiana Medicaid Coverage of Therapy Services, Louisiana Workers Compensation Fee Schedules, Maine Covid-19 Resources for Therapy Providers, Maine Medicaid Coverage of Therapy Services, Maryland Covid-19 Resources for Therapy Providers, Maryland 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Services, Missouri Workers Compensation Fee Schedules, Montana Covid-19 Resources for Therapy Providers, Montana Medicaid Coverage of Therapy Services, Montana Workers Compensation Fee Schedules, Nebraska Covid-19 Resources for Therapy Providers, Nebraska Medicaid Coverage of Therapy Services, Nebraska Workers Compensation Fee Schedules, Nevada Covid-19 Resources for Therapy Providers, Nevada Medicaid Coverage of Therapy Services, Nevada Workers Compensation Fee Schedules, New Hampshire Covid-19 Resources for Therapy Providers, New Hampshire Medicaid Coverage of Therapy Services, New Hampshire Medicaid Therapy Fee Schedules, New Hampshire Medicaid Outpatient Therapy, New Hampshire Medicaid Provider Enrollment, New Hampshire Workers Compensation Fee Schedules, Use of a Computer to Prepare Patient Records, New Jersey OT Identification and Notification, New Jersey Covid-19 Resources for Therapy Providers, New Jersey Medicaid Coverage of Therapy Services, New Jersey Medicaid Therapy Fee 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Resources for Therapy Resources, Pennsylvania Medicaid Coverage of Therapy Services, Pennsylvania Medicaid Provider Enrollment, Pennsylvania Workers Compensation Fee Schedules, Rhode Island Covid-19 Resources for Therapy Providers, Rhode Island Medicaid Coverage of Therapy Services, Rhode Island Medicaid Provider Enrollment, Rhode Island Workers Compensation Fee Schedules, South Carolina Covid-19 Resources for Therapy Providers, South Carolina Medicaid Coverage of Therapy Services, South Carolina Medicaid Outpatient Therapy, South Carolina Medicaid Provider Enrollment, South Carolina Pediatric Therapy Services, South Carolina Workers Compensation Fee Schedules, South Dakota Covid-19 Resources for Therapy Resources, South Dakota Medicaid Coverage of Therapy Services, South Dakota Medicaid Provider Enrollment, South Dakota Workers Compensation Fee Schedules, Tennessee Covid-19 Resources for Therapy Providers, Tennessee Medicaid Coverage of Therapy Services, Tennessee Workers Compensation Fee Schedules, Texas PT Board Position Statements and Forms, Texas OT Identification and Notifications, Texas Medicaid Coverage of Therapy Services, Texas Medicaid Outpatient Therapy for Children, Texas Medicaid Coverage of PT, OT, and SLP Therapy Service for Adults, Texas Medicaid Therapy Frequency and Duration Criteria, Texas Medicaid Co-Treatment and Group Therapy, Texas Medicaid Definitions for Outpatient Therapy, Texas Covid-19 Resources for Therapy Providers, Utah Covid-19 Resources for Therapy Providers, Utah Medicaid Coverage of Therapy Services, Vermont Covid-19 Resources for Therapy Providers, Vermont Medicaid Coverage of Therapy Services, Vermont Workers Compensation Fee Schedules, Virginia OT Out-of-State Licensee Voluntary Practice, Virginia Covid-19 Resources for Therapy Providers, Virginia Medicaid Coverage of Therapy Services, Virginia Workers Compensation Fee Schedules, Washington OT Identification and Notification, Washington OT Exemption for Short-Term Practice, Washington OT Inactive and Retired Status, Washington Covid-19 Resources for Therapy Providers, Washington Medicaid Coverage of Therapy Services, Washington Medicaid Therapy Fee Schedules, Washington Workers Compensation Fee Schedules, West Virginia Covid-19 Resources for Therapy Providers, West Virginia Medicaid Coverage of Therapy Services, West Virginia Medicaid Therapy Fee Schedules, West Virginia Medicaid Outpatient Therapy, West Virginia Medicaid Provider Enrollment, West Virginia Workers Compensation Fee Schedules, Wisconsin Covid-19 Resources for Therapy Provider, Wisconsin Medicaid Coverage of Therapy Services, Wisconsin Workers Compensation Fee Schedules, Wyoming Physical Therapy Procedures and Modalities, Wyoming Covid-19 Resources for Therapy Providers, Wyoming Medicaid Coverage of Therapy Services, Wyoming Workers Compensation Fee Schedules, Merit-Based Incentive Payment System (MIPS), Measure 126: Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy, Measure 127: Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention, Measure 128: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan, Measure 130: Documentation of Current Medications in the Medical Record, Measure 134: Preventive Care and Screening: Screening for Depression and Follow-Up Plan, Measure 181: Elder Maltreatment Screen and Follow-Up Plan, Measure 182: Functional Outcome Assessment, Measure 217: Functional Status Change for Patients with Knee Impairments, Measure 218: Functional Status Change for Patients with Hip Impairments, Measure 219: Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments, Measure 220: Functional Status Change for Patients with Low Back Impairments, Measure 221: Functional Status Change for Patients with Shoulder Impairments, Measure 222: Functional Status Change for Patients with Elbow, Wrist or Hand Impairments, Measure 223: Functional Status Change for Patients with General Orthopedic Impairments, Measure 226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention, Measure 281: Dementia Cognitive Assessment, Measure 282: Dementia: Functional Status Assessment, Measure 288: Dementia: Education and Support of Caregivers for Patients with Dementia, Measure 318: Falls Screening for Future Fall Risk, Measure 478: Functional Status Change for Patients with Neck Impairments, Measure 131: Pain Assessment and Follow-Up, Medicare Enrollment of Occupational Therapists, Medicare Enrollment of Physical Therapists, Medicare Coverage of Specific Modalities and Procedures, National Coverage Determinations for Therapy Services, Medicare Therapy Limitations and Noncovered Services, Medicare Documentation for Therapy Services, Levels of Appeals and Time Limits for Filing, Medicare Therapy Bill Type and Revenue Codes, Medicare Skilled Nursing Facilities Therapy Services, Medicare Home Health Conditions for Coverage, Security Rule - Administrative Safeguards, When Patient Authorization is Not Required, Early Intervention Referrals and Screening, Common Physical and Occupational Therapy Codes, NCCI Medically Unlikely Edits Therapy Services, NCCI Practitioner Edits Therapy Services Q3 2022, NCCI Practitioner Edits Therapy Services Q4 2022, NCCI Practitioner Edits Therapy Services Q1 2023, NCCI Hospital Edits Therapy Services Q3 2022, NCCI Hospital Edits Therapy Services Q4 2022, NCCI Hospital Edits Therapy Services Q1 2023, End of Covid-19 Emergency Period - Medicare Therapy Waivers, Medicare Certification and Recertification Plan of Care FAQs, Multiple Procedure Payment Reduction (MPPR), Medicare Total Time Rule v. AMA 8-Minute Rule, Medicare Documentation Requirements for Therapy Services, Medicare Documentation Requirements for Therapy Practices, New Section: Medicare Therapy Limitations and Noncovered Services, Medicare Telehealth Services During Covid-19 Emergency Period, New Section: Outpatient Rehabilitation Facilities.
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