Physical Therapy & Occupational Therapy (PT/OT) Coding Updates for 2019

CMS Has Changed PT/OT Coding for 2019: Are You Ready?

CMS has announced considerable changes to therapy services and their reporting requirements for 2019. It has finally allowed the reporting of the services of physical therapist assistants (PTAs) and occupational therapy assistants (OTAs) under incident to a therapist through new payment modifiers. Among other changes, CMS has also defined what ‘in whole or part’ represents for the correct reporting of PTA/OTA services. In light of these not-so-straightforward changes—and the fact that physical therapy billing is already on the radar of the OIG and other payers—are you confident that your therapy department can stand up without fear to a payer/carrier audit in 2019?

Stand up confidently to any audit by attending this information-packed session by coding expert Margie Scalley Vaught. This audio session is geared totally towards PT/OT coding and documentation, backed by official sources such as CPT^® and CMS/CCI. Vaught will bring you up to speed with the PT/OT coding changes and reporting requirements for 2019; show you how exactly your documentation should look like; walk you through how time should be reported, and provide valuable insight to help avoid payment denials.

After attending this session, you will have a thorough understanding of PT/OT coding. You will know who can document and perform physical therapy/occupational therapy to Medicare patients; whether you still need to report the functional HCPCS codes and severity modifiers; what your PTAs/OTAs can do; what you can bill; and when the new modifiers take effect. Plus, you will be armed with the insight to strengthen your therapy departments and maximize your reimbursement legally and ethically.

Session Highlights

The highlights below will give you a glimpse of what you can expect in this power-packed session:

• Who can document and perform physical PT/OT therapy to Medicare patients?
• Will your documentation support the services you provide?
• What should your documentation look like?
• What can your PTA/OTA do and bill for, and who can they work ‘incident to’ under?
• When do the new modifiers take effect?
• How should time be reported?
• Do you still need to report the functional HCPCS codes?
• Do you still need to report the severity G codes?

Who Should Attend

• Coders
• Billers
• Office managers
• Practice managers
• Physical/Occupational therapists

Reference Materials Provided

• CMS Medicare Physician Final Fee Schedule for 2019
• CPT Assistants regarding PT/OT services and codes
• Medicare Benefits Manual 100-02 Chapter 15 Sections 220 and 230

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

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