Ensuring Your Moderate Level of Service Meets the Coding Criteria

Does your documentation match your moderate level of service billed?  With the changes implemented by the American Medical Association (AMA) and the Centers for Medicare & Medicaid Services (CMS), it is very important to make sure your documentation matches the level of service you are billing.  Many providers are finding themselves billing more moderate level of service visits now than they did previously under the old guidelines.   Criteria for Code Selection To achieve a moderate level of service, at…

Documenting Substance Use Treatment: A Pivotal Junction

Accurate documentation is essential for ensuring proper treatment, reimbursement, and overall quality of care. For substance use treatment, this is particularly important. The challenges of documenting client visits for substance use involve not only rigor but also a solid comprehension of the intricacies involved in addiction treatment and the individuals involved. In this blog, we will explore the importance of accurate documentation in substance use treatment, the influence on client outcomes, and how clinicians can…

Updated Telehealth Information for Physical Therapists (PTs), Occupational Therapists (OTs), and Speech-language Pathologists (SLPs) as of April 1, 2025

Telehealth services continue to evolve, and here is an important update.  On March 14, 2025, as part of a spending bill to prevent a government shutdown, Congress extended key Medicare telehealth waivers until September 30, 2025. This extension, originally set to expire on March 31, 2025, is a vital tool for expanding access to care and provides a sense of reassurance. While this extension is welcome news, it also raises questions about whether these flexibilities…