Telehealth Place of Service Code Update:
Starting April 1st, 2022 Blue Cross and TUFTS have updated their modifiers and POS codes for Telehealth
- POS 10 = Patient is receiving telehealth services while in their home
- POS 02 = Patient is receiving telehealth services outside of their home
(This is not the complete list of updates, be sure to check Tufts and BX policies for how they apply to your practice)
Blue Cross Blue Shield of RI D-SNP Required Training for in-network providers:
- Blue Cross & Blue Shield of Rhode Island (BCBSRI) is offering a dual special needs plan, or D-SNP, to eligible Rhode Islanders.
- Training and attestation of completion is required for all in-network providers by March 30th, 2022.
2022 PTA Differential Follow up:
Which Insurances have adopted the payment differential to date?
- Medicare, Railroad Medicare, Humana prime and Tricare for Life
Of note: NHP adopted the CQ modifier but has NOT adopted the differential
APTA and the Private Practice Section continues to advocate for:
- A delay in the application of the payment differential and exempting those therapy assistants who are working in rural and medically underserved areas.
- State law to determine PTA supervision requirements for Medicare in outpatient therapy settings.
Reminder - Good Faith Estimate Requirement:
"Surprise Billing" rules require a good faith estimate of the costs of services for uninsured or self-pay patients are in effect as of Jan. 1, 2022.
Remote Therapeutic Monitoring Codes - Reviewed:
The final 2022 Medicare Fee Schedule now includes PT’s in utilization of the new Remote Therapeutic Monitoring Codes payable through Medicare.
APTA has issued an advisory to help clear up some of the details.
The advisory includes background and descriptions, documentation requirements, examples and guidance on which codes are subject to payment adjustment under the PTA differential system now in place.
Practice Updates
Want to have a say in what is in the APTA’s Guide to Physical Therapist Practice?
The Guide to PT Practice is under review. Here is your chance to contribute to the new version that guides our daily practice as PT’s!
Our state may be small but we ARE drivers of our profession and our practice!
Log in today to give your feedback.
Deadline extended to February 28th
