Novitas Sends Out Therapy Cap Additional Documentation Request Letters with Invalid Procedure Code
Novitas Solutions, Inc. sent out Therapy Cap Additional Documentation Request (ADR) letters for 2013 therapy claims with an invalid procedure code to a limited number of therapy providers. This only a...

April 2013 Quarterly System Release – Medicare Claim Hold
The Centers for Medicare & Medicaid Services (CMS) has identified technical issues with certain parts of the April 2013 quarterly systems release. For claims with dates of service or "Through Date...

CMS to Send Reminders on Functional Limitation Reporting Beginning April 1, 2013
Physical therapists who submit Medicare Part B claims without proper functional limitation data, for services provided on or after January 1, 2013, soon will get feedback from the Centers for Medicare...

CMS Issues Final Guidance on Manual Medical Review On Therapy Claims above the $3,700 Threshold
CMS has provided the following guidance on the Manual Medical Review for therapy services exceeding $3,700 in calendar year 2013:

Medicare Administrative Contractors (MACs) will conduct p...