The Centers for Medicare and Medicaid Services (CMS) recently released a national provider Comparative Billing Report (CBR) that centered on independent physical therapy providers who practice in the outpatient setting and bill Medicare with the KX Modifier. This CBR is similar to an original study distributed last summer, though this current study focuses on 2010 billing data and is being sent to 5,000 additional or different providers.
Specifically, these CBRs address the use of the KX modifier for 5 codes that are commonly billed by physical therapists. The CBRs are produced by Safeguard Services under contract with CMS and contain data-driven tables and graphs with an explanation of findings that compare nationally and statewide physical therapist billing and payment patterns with the KX modifier. Safeguard Services has indicated to APTA that these reports are only educational rather than punitive, intending to prevent improper billing and use of the KX modifier.
To help physical therapists understand these reports, Safeguard Services is conducting a free audioconference on September 20, 2 pm Eastern Time. Physical therapists will be able to ask questions directly to the company that produced the reports.
For more information and to review a sample of the Outpatient Physical Therapy Services CBR with service dates from January 1, 2009, through December 31, 2009, visit CBR Services' Web site or call the SafeGuard Services' provider help desk, CBR support team, at 530/896-7080.