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georgia medicaid fee schedule 2021

Join today as either a monthly or a yearly member and enjoy full access to the site and a significant discount to our live and recorded webinars. Durable Medical Equipment and Medical Supply Services Provider Fee Schedule for All Medicaid Recipients: Promulgated Fee Schedule [ 1.2 MB ] 2022 Promulgated XLS [ 131 kB ] 2022: Early Intervention Services Fee Schedule: Promulgated Fee Schedule [ 96.7 kB ] 2022 4. PDF. Provide comprehensive services and have an ongoing quality assurance program; Meet other health and safety requirements; Not be concurrently approved as an RHC; and. They are assigned a Georgia Medicaid Category of Service of 541 and 542. Providers must follow proper billing, industry standards, and state compliant codes on all . Press Tab or Shift+Tab to navigate through menu. Press Space or Escape to collapse the expanded menu item. ICD-10-CM/PCS diagnosis and procedure coding has been adopted by the State Board of Workers Compensation to coincide with the Centers for Medicare and Medicaid Services (CMS) implementation date of October 1, 2015. CMS develops fee schedules for physicians, ambulance services, clinical laboratory services, and durable medical . Year: Please select one: 2023 2022 2021 2020 2019. After the initial year, payment will be set using the MEI and change of scope methods used for other clinics. This comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis. Public Ground Ambulance Providers that completed the needed information to calculate a UPL payment have received the following payments: Ground An official website of the State of Georgia. 281 0 obj <>/Filter/FlateDecode/ID[<4D9494D840A06F42ADDF4C3275BC5006>]/Index[256 38]/Info 255 0 R/Length 115/Prev 241698/Root 257 0 R/Size 294/Type/XRef/W[1 3 1]>>stream Learn What's New for CY 2023. Physician Fee Schedule - January 2021 release. endstream endobj 257 0 obj <>/AcroForm 282 0 R/MarkInfo<>/Metadata 23 0 R/OCProperties<>/OCGs[]>>/Outlines 42 0 R/Pages 254 0 R/StructTreeRoot 52 0 R/Type/Catalog>> endobj 258 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 28/Tabs/S/Type/Page>> endobj 259 0 obj <>stream A. You will find key information that will make it easier for you to do business with us and assist you in serving our members. Before sharing sensitive or personal information, make sure youre on an official state website. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. $66.27 per hour weekend and holiday Physicians will see a conversion factor decrease on Jan. 1, 2021, going from $36.09 to $32.41. Final payment pending CMS approval of calculation. When care is provided for less than four hours, the allowed rate will be per visit, as indicated below:$145.77 per visit Registered Nurse$119.35 per visit Licensed Practical Nurse$74.30 per visit Certified Nurse Assistant or Personal Care AttendantPhysical Therapists, Occupational Therapists and Speech-Language Therapists are reimbursed according to the fee schedule for CPT codes provided in Section X, General Medicine Services, and Section XI, Physical Medicine Services plus $39.01 per visit. An entity that qualifies as an FQHC is assigned a CCN in the range 1800-1989, and 1000-1199. See the press release, PFS fact sheet, Quality Payment Program fact sheets, and Medicare Shared Savings Program fact sheet for provisions effective January . EDWP CASE MGMT. If a patient does opt-out, no providers can share his or her health records through the network. A User is an individual who uses information from the ground rules and/or rate tables to make decisions about, to charge or to pay for services related to claims for injured workers. Click It does not necessarily apply to tribal or urban Indian FQHCs. $31.80 per hour weekend and holiday DRGs are a system of classifying inpatient hospital services based on a person's medical diagnosis, any secondary diagnoses, surgical procedures, age, sex and presence of any complications. Supplies, DME, prosthetics and orthotics, and rental equipment reimbursement: Medical supplies (e.g., sterile trays) provided by the physician or other medical provider over and above those usually included with the office visit (e.g., Band-Aids and cotton swabs) or other services rendered may be listed separately using CPT code99070. 7500 Security Boulevard, Baltimore, MD 21244 . The baseline rates effective January 1, 2001, will be adjusted by the Medicare Economic Index (MEI), effective for dates of service on and after October 1, 2001, based on the MEI and for changes in the RHC's scope of services during January 1, 2001, through September 30, 2001. Home Health Services hourly rates have been updated: Ground Ambulance and Non-Emergency Transportation reimbursement rates have been updated. How do I know if I am in the right place? Enrollees receive services through either managed . All rights reserved. here to view the Georgia EVV Program Training Registration How-to Guide for step-by-step instructions on how to register for training Diagnosis Related Groups - APR DRG Information. The MAR for services provided via telemedicine is the same as for services provided in an office or facility. A. Note that these rates apply to fee-for-service, rates may be different if the patient is enrolled in a Medicaid managed care plan. Local, state, and federal government websites often end in .gov. Codes 90471 and 90472 are reimbursed at the Medicare fee schedule in effect for the CY 2014 under the Patient Protection and Affordable Care Act rate . _cA Outpatient Services - Hospital/ASC Section: The Medicare outpatient prospective payment system (OPPS) reimbursement model, with state-specific guidelines, remains as the billing and payment methodology. FQHCs and RHCs that qualify after the fiscal year 2000 will have their initial rates established by a statewide average of similar clinics. CPT copyright American Medical Association. hbbd```b``/d&"d FQHC services also include certain preventive primary health services. An official website of the State of Georgia. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Let us know if youd like to see other details added or if you have a question. > Plus $60 for each additional, > PDF plus an Excel Spreadsheet - $350 Download the following pdf file. The analysis of any legal or medical billing is dependent on numerous specific facts including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. For newly qualified RHCs and FQHCs that participate in FY 2000 only, the department will use the FY 2000 cost for calculating the baseline PPS rate effective January 1, 2001. CAH-RHC - MEI 2.1% - $86.56, Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC) Documents. Update for 15 July 2021. The Initial Reimbursement Rate Sheets for FYE June 30, 2022, are located below. In addition to location requirements, an RHC must: The physician providing medical direction may be the owner of the RHC, an employee of the clinic or under agreement with the clinic to carry out the physician responsibilities located at 42 CFR 491.8(a) (6) (b). We want to assist physicians, facilities and other providers in accurate claims submissions and to outline the basis for reimbursement if the service is covered by a member's benefit plan. Each RHC`s per visit is based on its reasonable cost of providing Georgia Medicaid-covered services including other ambulatory services costs during FY 1999 and FY 2000. An official website of the State of Georgia. refer to the individual Georgia Medicaid fee schedule for appropriate codes. 02/01/2023. Effective January 1, 2018 the Georgia Department of Community Health (DCH), Medicaid Division, began providing coverage for Autism Spectrum Disorders (ASD) services for individuals under the age of 21. 60% of the Medicaid Fee schedule for labs. Therapy Comply does not claim copyright over US Federal and State materials. Our Palmetto GBA Medicare Physician Fee Schedule (MPFS) tool allows you to display or download fees, indicators, and indicator descriptors. An official website of the State of Georgia. EVV Serve a designated Medically-Underserved Area (MUA) or Medically Underserved Population (MUP); Offer a sliding fee scale to persons with incomes below 200% of the federal poverty level; and. For Federal Fiscal Year (FFY) 2002 and FFYs thereafter, the per-visit rate will be calculated by adjusting the previous year's rate by the MEI for primary care, and for changes in the RHC's scope of services during the prior FFY. \\=LgSEw{t/N&Dm.N&OTu[t?fYtsnK7W{bYn>?-ON,vny"Nxb3Q.\^~Z,?n&lj>w/o+pzmR#|9n__o7_.&[WOBpiv|xM7x{=/6;o'Dt_&ACUL~yYws3&Bx,|Wgw]Y-3im.>J5>L{l 4@%=s}n6 u>Q3tRDK9t8+B (|7% ^w[9~0~74 If you have a question about a specific matter, you should contact a professional advisor directly. The Division of Medical Assistance uses Diagnosis Related Groups (DRGs) to reimburse hospitals for services to Medicaid recipients. FS-RHC - MEI 2.1% - $83.42 The team oversees the Georgia Medicaid and PeachCare for Kids programs. (404) 728-1974; FAX (404) 728-1975[emailprotected]. These rates are inclusive of 13.37% Growth, Joint Commission & AHCA quality incentives and audited 2018 GL/PL Insurance Costs. Before sharing sensitive or personal information, make sure youre on an official state website. Office of Analytics and Program Improvement, Medicaid Promoting Interoperability Program. The following example would NOT be considered Users of the fee schedule: If you have any questions about user definitions, please contact FAIR Health client services. Keep in mind that determination of coverage under a member's benefit plan does not necessarily ensure reimbursement. 09 - FORM 5382 - Notice Of Denial, Termination, or Reduction in Service - Paper. Before sharing sensitive or personal information, make sure youre on an official state website. - Updated 03/10/23. Required Documentation to enroll with Georgia Medicaid: PDF: 468.3: 06/20/2019 . C__j~;;yWs=y?.W5|{l}Y^Lz?^WMo_&V Georgia Workers' Compensation Fee Schedule, Mississippi Workers' Compensation Fee Schedule, South Carolina Workers' Compensation Fee Schedule, 2023 Georgia Workers' Compensation Medical Fee Schedule, > PDF - $210 256 0 obj <> endobj Licensed Practical Nurse (LPN) CareSourcewants to equip you to work with our health plan to provide the best service for our members. An official website of the State of Georgia. > Plus $10 for each additional, > PDF - $180 doctor, request an ID Card and more. As with RHCs, they are also facilities that are primarily engaged in providing services that are typically furnished in an outpatient clinic and are paid a PPS for qualified primary and preventive health services. Training dates will extend through 2023 for both EVV PCS and EVV HHCS Programs. Principal How you know. An online provider training washeld onThursday, March 18, 2021 at 10:00 AM ESTfor instruction on completing and submitting the ACR survey and supporting documentation. Department for Medicaid Services . Local, state, and federal government websites often end in .gov. April 1, 2017 Medical Fee Schedule Updates. EPSDT Medicaid Fee Schedule : 12/01/13 PDF: 07/01/12 PDF: EPSDT PCS Procedure Code/Rate Chart: Current PDF: EPSDT Psychological and Behavioral Services Fee Schedule: 12/08/06 PDF: Greater New Orleans Community Health Connection (GNOCHC) Fee Schedule: Current Schedule Effective Date: Previous Schedule Effective Date: Financial Analyst Supervisor, Shandriea Crook. 881 Piedmont Avenue Therapy codes can be found in the Physician Fee Schedule. Frankfort, Kentucky 40601 April 1, 2021 Medical & Dental Fee Schedules Updates. Local, state, and federal government websites often end in .gov. Meet other applicable State and Federal requirements. The most current CMS 1500 billing form, version 2/12, is adopted in the Medical Fee Schedule, and the ADA Dental Claim Form 2012 has been adopted in the Dental Fee Schedule. Functional Capacity Evaluations (FCE01): Not to exceed $850.00. Current State - Average Rates Effective 10/1/2022 - 9/30/2023 (for new enrollments), FQHC - MEI 2.1% - $125.55 It is the clinic's responsibility to recognize any changes in their scope of services and to notify the department of those changes and to provide the department with documentation and projections of the cost and volume impact of the change. January 1, 2021 December 31, 2021 Interim Payment made January 26, 2023. SFY 2023 Hospital Provider Fee Memorandum - Posted 06/15/22. Per CMS requirement, providers must submit Average Commercial Rates (ACR) every two (2) years. Learn What's New for CY 2023. 3MB. state Medicaid fee schedule for appropriate codes. The Georgia Department of Community Health is committed to providing the most up-to-date information regarding Georgias EVV program. Office of Analytics and Program Improvement, Medicaid Promoting Interoperability Program. Quick Reference Materials. > Plus $50 for each additional, > PDF plus an Excel Spreadsheet - $350 > Plus $60 for each additional, > PDF - $25 The Amerigroup provider manuals provide key administrative information, details regarding programs that include the utilization management program and case management programs, quality standards for provider participation, guidelines for claims and appeals, and more. Georgia Medicaid fee schedules are updated quarterly. 0 See the press release, PFS fact sheet, Quality Payment Program fact sheets, and Medicare Shared Savings Program fact sheet for provisions effective January . The Department of Community Health (DCH) recently received approval from the Centers for Medicare & Medicaid Services (CMS) to provide a supplemental payment adjustment to government-owned (hospital affiliated or free-standing) ground ambulance providers in Georgia. The following materials will help familiarize you with the CareSource Georgia Medicaid plan. Please email us atinfo@therapycomply.comif you need assistance. A User is an individual who uses information from the ground rules and/or rate . Healthcare Common Procedure Coding System (HCPCS) codes maintained by CMS were updated. Starting in May 2021, providers will have the ability to review their upcoming fee schedule update that will go into effect as of July 1, 2021, and can be accessed through the reporting function in Availity. Contact Medicaid Care Management Organizations (CMOs), File a Complaint about a Licensed Facility, Facebook page for Georgia Department of Community Health, Twitter page for Georgia Department of Community Health, Linkedin page for Georgia Department of Community Health, YouTube page for Georgia Department of Community Health, Ground Ambulance (Public/Private) Providers, Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC), Medicaid Sign-Up Portal (Georgia Gateway). CMS issued a CY 2023 Medicare Physician Fee Schedule (PFS) final rule to expand access to behavioral health care, cancer screening coverage, and dental care. Outpatient diabetes self-management training and medical nutrition therapy for beneficiaries with diabetes or renal disease. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Primary Care and OBGYN codes Updated to 2020 Medicare Rate (Effective 7/1/2021) PDF: 69.4: 07/01/2021 : Zipped Fee Schedules - 2nd Quarter 2021: ZIP: 4968.2: 07/01/2021 : Zipped Fee Schedules - 1st Quarter 2019 : ZIP: 3974.3: 04/01/2019 : Zipped Medicaid Policy Manuals 2019 - 2nd Quarter - Fee Schedules: ZIP: How you know. The legislation authorizes DCH to implement the assessment program on a subset of ambulance services, and DCH intends to implement the assessment program for privately owned (private) ground ambulance providers. %%EOF If a patient does opt-out, but changes his or her mind, he or she can easily opt back into the system. Services to treat ASD include assessment and treatment provided to Medicaid member in accordance with early and periodic screening, Diagnostic and Treatment (EPSDT) standards and according to medical necessity. Final payment pending CMS approval of calculation. April 1, 2022 Medical and Dental Fee Schedules Updates, April 1, 2021 Medical & Dental Fee Schedules Updates, April 1, 2020 Medical Fee Schedule Updates, April 1, 2019 Medical Fee Schedule Updates, April 1, 2018 Medical Fee Schedule Updates, April 1, 2017 Medical Fee Schedule Updates, April 1, 2016 Medical Fee Schedule Updates, April 1, 2015 Medical Fee Schedule Updates, April 1, 2013 Medical Fee Schedule Updates, April 1, 2012 Medical Fee Schedule Updates, April 1, 2011 Medical Fee Schedule Updates, April 1, 2010 Medical Fee Schedule Updates, April 1, 2009 Medical Fee Schedule Updates, April 1, 2008 Medical Fee Schedule Updates, April 1, 2007 Medical Fee Schedule Updates, April 1, 2006 Medical Fee Schedule Updates, April 1, 2005 Medical Fee Schedule (Physician) Updates, July 1, 2005 Medical Fee Schedule (Hospital) Updates. CMS issued a CY 2023 Medicare Physician Fee Schedule (PFS) final rule to expand access to behavioral health care, cancer screening coverage, and dental care. . ASD coverage is provided for assessment and treatment services according to severity and is based on medical necessity. The participation period is open for the January 1, 2022 December 31, 2022 Survey Period for all Public Ground Ambulance Providers to complete the needed information to calculate a UPL payment. How do I know if I am in the right place? h[oWF7}d ?p%LD"N}W}L (5g[5D@(ADYGX%!CH<=(&2 The live webinar training sessions allow you to interact with the instructors during the scheduled sessions; including the ability to ask questions. Current Procedural Terminology (CPT) and Current Dental Terminology (CDT) codes were updated with code additions, deletions and revisions in accordance with the American Medical Association (AMA) and the American Dental Association (ADA). Press Enter on an item's link to navigate to that page. The April 1, 2023 Georgia Workers Compensation Medical and Dental Fee Schedules are available for purchase from FAIR Health here. The Division of Medical Assistance uses Diagnosis Related Groups (DRGs) to reimburse hospitals for services to Medicaid recipients. Licensing fee schedules is based on the number of users in your organization. Non-credentialed Care, Including Family Members. Local, state, and federal government websites often end in .gov. In turn, the plan pays providers . Georgia Medicaid fee schedules are updated quarterly. GEORGIA MEDICAID Policy Name Policy Number Effective Date . An official website of the State of Georgia. Additionally, laws and regulations and insurance and payer policies are subject to change. Licensed Practical Nurse (LPN) $40.49 per hour weekday. Annually, each RHC's per-visit rate is calculated by adjusting the prior year's rate by the Medical Economic Index (MEI). State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Medicaid Services; Fee Schedulers. Electronic Package > PDF plus an Excel Spreadsheet . Atlanta, GA 30309 CareSource wants to equip you to work with our health plan to provide the best service for our members. Certified Nurse Assistant/Personal Care Attendant (CNA/PCA) Pharmaceutical: Both brand name and generic pharmaceuticals are reimbursed at the average wholesale price (AWP) in the. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Inpatient Medicare severity diagnosis-related group (MS-DRG) codes have been updated to version 40.1, with a base rate increase. Medical supplies and durable medical equipment are reimbursed at cost times 1.5 plus $4.00 for handling fee charges. > Plus $10 for each additional, > PDF plus an Excel Spreadsheet - $35 Office of Analytics and Program Improvement, Medicaid Promoting Interoperability Program. FQHCs may be located in rural or urban areas. Therapy Comply is a healthcare compliance firm that seeks to bring high quality web-based compliance guidance and one-on-one consulting services to small and medium size physical, occupational, and speech therapy practices. 6bEuez>#ne[PMD!UJ'Wv][5hee~'a 31LL-.-z_'4gf*d\Ko{hyr4]^35%pgm15\k?okqxhGsxVItq>9~Z}ZKx-9wHjIe~ )Ja;JSLM@uRIZqj`qre--V"j11.U2|olXnoNNh\+H:FS%iN+QmPC[I)Ti,T44XBwMb}G31NttiBWOpwU K\!xI':y^!fQJgEx /*4L4"/U"Ac: t~)Y 7(jJL 1ohlWc}9*<3Dvm@rVh1hkU'kq48V-+CLB> cT0hxa;8Y6HHA Georgia Chiropractic Association All rights reserved. Members must have a documented DSM-V diagnosis of ASDfrom a licensed physician, psychologist or other licensed professional as designated by the Medical Composite Board to be eligible for Adaptive Behavior Services (ABS). Please note: . State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. House Bill 271 of the 2021-2022 regular session of the Georgia Assembly authorized the Department of Community Health (DCH) to develop an assessment program for the purpose of funding the state share of Medicaid supplemental payments for ambulance providers. An official website of the State of Georgia. $42.03 per hour weekday Anesthesia conversion factor has been updated to $42.96. Case managers and support coordinators, you do not need to take the State EVV solution (Netsmart) training currently. DCH may update the below table so check back often for updates. $56.58 per hour weekday How you know. While times will vary for each session, the day of the week and weekly recurrence per topic will remain the same. Webinar: Medicare Advantage Compliance and Therapy Services, Webinar: Scheduling to Increase Revenue and Reduce Cancellations, Webinar: The Business of Providing PT/OT to Medicare Patients Recorded September 22, 2022, Webinar: Medicare Documentation and Billing Physical and Occupational Therapy September 8, 2022, Webinar: Remote Therapeutic Monitoring July 20, 2022, Webinar: HIPAA Recognized Security Practices, Webinar: Creating a PT/OT Bonus Plan for Your Practice, Webinar: Medicare PT/OT Services and NCCI, Webinar: Defending Your Therapy Practice from Medicare Audits, Webinar: Advising PT/OT Patients about Cannabis: Medical Marijuana and CBD, Webinar: HIPAA Risk Assessments and Mitigation, Webinar: Effective Compliance and Billing Audits for Therapy Practices, Webinar: Financial and Productivity Benchmarking for Outpatient Physical and Hand Therapy, Webinar: Adult Scoliosis Recognition and Physical Therapy Interventions, Webinar: 2022 Billing and Coding Updated for PT/OT, Webinar: CQ-CO Modifiers and Medicare in 2022, Webinar: PT/OT Burnout Resilience & Balance, Webinar: Medicare ABNs and Therapy Services, Webinar: Osteoarthritis Management by Physical Therapists, Webinar: Effective Compliance Plans for Therapy Practices, Webinar: Manual Therapy Principles of the Shoulder, Webinar: HIPAA for Physical and Occupational Therapy, Webinar: Tricare Compliance for PT and OT, Webinar: Documentation of Skilled Therapy, Webinar: Hip Stability and its Effects on Balance and Fall Prevention, Webinar: Managing Conflict Resolution for PTs and OTs, Webinar: Core Stability and its Effects on Balance and Fall Prevention, Webinar: Posture, Aging and Orthopedic Effects on Balance, Webinar: Pills and Spills An Assessment of Medications and Fall Risk in Older Patients, Alabama PT Identification and Notifications, Alabama PT Board Position Statements and Forms, Alabama OT Identification and Notification, Alabama OT Board Position Statements and Forms, Alabama SLP Board Position 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Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy, Measure 127: Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention, Measure 128: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan, Measure 130: Documentation of Current Medications in the Medical Record, Measure 134: Preventive Care and Screening: Screening for Depression and Follow-Up Plan, Measure 181: Elder Maltreatment Screen and Follow-Up Plan, Measure 182: Functional Outcome Assessment, Measure 217: Functional Status Change for Patients with Knee Impairments, Measure 218: Functional Status Change for Patients with Hip Impairments, Measure 219: Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments, Measure 220: Functional Status Change for Patients with Low Back Impairments, Measure 221: Functional Status Change for Patients with Shoulder Impairments, Measure 222: Functional Status Change for Patients with Elbow, Wrist or Hand Impairments, Measure 223: Functional Status Change for Patients with General Orthopedic Impairments, Measure 226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention, Measure 281: Dementia Cognitive Assessment, Measure 282: Dementia: Functional Status Assessment, Measure 288: Dementia: Education and Support of Caregivers for Patients with Dementia, Measure 318: Falls Screening for Future Fall Risk, Measure 478: Functional Status Change for Patients with Neck Impairments, Measure 131: Pain Assessment and Follow-Up, Medicare Enrollment of Occupational Therapists, Medicare Enrollment of Physical Therapists, Medicare Coverage of Specific Modalities and Procedures, National Coverage Determinations for Therapy Services, Medicare Therapy Limitations and Noncovered Services, Medicare Documentation for Therapy Services, Levels of Appeals and Time Limits for Filing, Medicare Therapy Bill Type and Revenue Codes, Medicare Skilled Nursing Facilities Therapy Services, Medicare Home Health Conditions for Coverage, Security Rule - Administrative Safeguards, When Patient Authorization is Not Required, Early Intervention Referrals and Screening, Common Physical and Occupational Therapy Codes, NCCI Medically Unlikely Edits Therapy Services, NCCI Practitioner Edits Therapy Services Q3 2022, NCCI Practitioner Edits Therapy Services Q4 2022, NCCI Practitioner Edits Therapy Services Q1 2023, NCCI Hospital Edits Therapy Services Q3 2022, NCCI Hospital Edits Therapy Services Q4 2022, NCCI Hospital Edits Therapy Services Q1 2023, End of Covid-19 Emergency Period - Medicare Therapy Waivers, Medicare Certification and Recertification Plan of Care FAQs, Multiple Procedure Payment Reduction (MPPR), Medicare Total Time Rule v. AMA 8-Minute Rule, regarding any Medicaid billing, coverage, or compliance issue, so please consider, Medicare Documentation Requirements for Therapy Services, Medicare Documentation Requirements for Therapy Practices, New Section: Medicare Therapy Limitations and Noncovered Services, Medicare Telehealth Services During Covid-19 Emergency Period, New Section: Outpatient Rehabilitation Facilities.

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