Billing best practices for Physical Therapists

1.     WHY APOLLO BLOG SIGN IN  888 447 8065 HOME COMPANY  FEATURES  PRICING CONTACT US GET A FREE DEMO BILLING BEST PRACTICES FOR PHYSICAL THERAPISTS Home  Blog  Billing best practices for Physical Therapists Recent Posts By Apollo Team Blog February 25, 2015 Reading Time: 2 minutes Use Modifiers to identify therapy services whether or not financial limitations are in effect. The national Common Working File (CWF) database tracks the financial limitation based on the presence of therapy modifiers. Providers/suppliers must continue to report one of these modifiers for any therapy code on the list of applicable therapy codes. These modifiers do not allow a provider to deliver services that they are not qualified and recognized by Medicare to perform. Urgent Call to Action: Protect Access to Therapy by Supporting H.R.6683 Urgent Action Required: Stop the -3.4% Medicare Cut for 2024 Outpatient Therapy Code Modifiers must be used when billing Medicare for outpatient therapy. GN (Services delivered under an outpatient speech-language pathology plan of care), GO (Services delivered under an outpatient occupational therapy plan of care), GP (Services delivered under an outpatient physical therapy plan of care) Navigating the 2024 Medicare/CMS Proposed Rule Changes: What Therapists Need to Know This modifier is entered in Box 24D in the HCFA 1500 and just past  SVC*HC in the 5010-837.  Without this modifier you will not be paid. At present a lot of clinics bill 2 different codes to payers, one that includes the modifier and a set of codes that do not. In talking to several billers they keep a list of payers that need the modifier and those that do not. In testing several payers I have noticed that the payers that do not require the modifier, do not care if the modifier is present. My suggestion for Best Practice to both save time and coding is to bill using the modifier on all CPT codes, this way it will save you time and expense in trying to figure one coding vs. another coding for a particular payer. You may find a particular payer in your region that will not process the claim, but for the most part APOLLO has notice payers paying on the CPT regardless of modifiers.   0 Comments 1 Login  G Start the discussion… LOG IN WITH OR SIGN UP WITH DISQUS ? Name Share Best Newest Oldest  Be the ?rst to comment. Subscribe Privacy Do Not Sell My Data Go green, paperless is good for the environment! GET A FREE DEMO IMPORTANT LINKS FEATURES CONTACT DETAILS APOLLO PRACTICE MANAGEMENT SOFTWARE Home Contact Us Physical Therapy Scheduling 290 First Street Suite Two, Pittsfield, Massachusetts 01201 Maximize your practice with robust reports and technical support About Us Customer Reviews Physical Therapy EMR 888 447 8065 Manage Your Business Grow Your Business Access Expert Support and Training Benefits Physical Therapy Billing Blog Key Features Physical Therapy Documentation …the possibilities are endless. All at an extremely affordable price Pricing Practice Management Reporting  Copyright © 2024 Apollo Practice Management Software. All rights reserved. Sitemap Terms of Service Privacy Policy   