Information and resources on Medicare coding and billing. If you have questions about this information, contact firstname.lastname@example.org.
Preparing for 2019 and Beyond
PTs practicing in postacute care are integral to improving the quality of care provided to patients while reducing overall costs. This is particularly true under new value-based payment initiatives such as bundled payment models, accountable care organizations, and patient-centered medical homes. Changes to the payment systems for IRFs, SNFs, LTCHs, and HHAs are having significant impact on the profession.
As the Centers for Medicare and Medicaid Services is still exploring whether and how to incorporate striated payment into the tiered CPT codes for the 3 levels of physical therapy evaluation, it's important to be familiar with the codes and to use them accurately.
Medicare began in 2019 reimbursing for chronic care remote physiologic monitoring under new CPT codes 99453, 99454, and 99457. Physical therapists may furnish and bill these codes.
Insider Intel Recorded Webinar
FREE to APTA Members
Discussion Topics to Include: CY 2018 home health final rule, Quality Payment Program (QPP), Merit-Based Incentive Payment Program (MIPS), Postacute care, physician fee schedule, and Medicare Therapy Cap.