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NPP Report: 5 proven ways to prevent PT documentation denials

08/24/2009

You and your peers are billing more physical therapy (PT) services to Medicare than ever before, and the denial rate has gone up right alongside in the last few years, according to an NPP Report analysis. The two most commonly billed codes, 97110 and 97140, were billed 43 million times in 2007, up 14% from 37.7 million times in 2005. Over the same period, their denial rates jumped into double digits (see sidebar, here).

NPP Report: Physical therapy denial rates rise along with Medicare utilization

08/24/2009

Physical therapy (PT) services are among the fastest-growing in terms of Medicare utilization for a variety of reasons (see story, here). Unfortunately, denials have gone up just as quickly, according to an NPP Report analysis.

NPP Report: Denial rates by NPP specialty, 2005-2007

08/24/2009

NPP Benchmark: This chart shows Medicare denial rates for the six major non-physician practitioner (NPP) specialties from 2005 to 2007. Denial rates were calculated by comparing the number of denied services to the total number billed to Medicare; submissions for all codes were included.

NPP Report: Expect greater scrutiny of incident-to services from CMS

08/24/2009

The HHS Office of Inspector General (OIG) has told CMS to get tough on incident-to services billed by you and your peers, according to an Aug. 6 OIG report. Expect tougher scrutiny of any service billed incident-to as CMS looks to further revise and improve its rules.

NPP Report: Fla. CSWs RAC review-eligible

08/24/2009

Clinical Social Workers (CSWs) who work in Florida are the latest providers targeted by the Recovery Audit Contractors (RACs).

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