Medicare Part B Therapy Services Changes for Fiscal Year 2025: Part 1

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Updated Telehealth Information for Physical Therapists (PTs), Occupational Therapists (OTs), and Speech-language Pathologists (SLPs) as of January 2025. The Centers for Medicare & Medicaid Services (CMS) recently released the Final Rule for the Physician Fee Schedule (PFS), or Medicare Part B Rule, which will take effect on January 1, 2025. This comprehensive blog series outlines significant changes impacting therapy professionals, including Physical Therapists (PTs), Occupational Therapists (OTs), and Speech-Language Pathologists (SLPs).   Rate Information The…

 What Do Providers Need to Know About Future Non-Therapy Ancillary (NTA) Changes?

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The Centers for Medicare & Medicaid Services (CMS) has been collecting feedback from healthcare providers on how to improve the Non-Therapy Ancillary (NTA) component of the Patient-Driven Payment Model (PDPM) in Skilled Nursing Facilities (SNFs). In response to concerns and data analysis from Fiscal Year (FY) 2019-2022, CMS has proposed several changes to simplify and improve how NTA points are assigned. While the NTA changes were not in effect on October 1, 2024, CMS has…

Understanding Assistant-At-Surgery and Co-surgeon Claims

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The Office of Inspector General (OIG) recently completed an audit on their work plan of co-surgeon claim payments to determine if the payments complied with federal requirements. Per the OIG, their findings were as follows: “From our 100 statistically sampled services, we found that 69 did not comply with Federal requirements. Specifically, these statistically sampled services included 49 that were incorrectly billed without the co-surgery modifier, 14 that were incorrectly billed without an assistant-at-surgery modifier,…