The Functional Reporting requirements of reporting the functional limitation nonpayable HCPCS G-codes and severity modifiers on claims for therapy services and the associated documentation requirements in medical records have been discontinued, effective for dates of service on and after January 1, 2019. Beginning in 2021 any use will cause the claim to be denied though they Read more…
On December 27, the Consolidated Appropriations Act, 2021 modified the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS): Provided a 3.75% increase in MPFS payments for CY 2021 Suspended the 2% payment adjustment (sequestration) through March 31, 2021 Reinstated the 1.0 floor on the work Geographic Practice Cost Index Read more…
Medicare rates were to have been reduced by about 10% for all services other than E&M codes. However, due to the recent senate and congressional voting funding additional monies to Medicare this cut was averted and will only be about 5-6% instead of 10%. Unfortunately, due to the late rulings Read more…