Before CPT 2027, Ask Your OBGYN Billing Company These 10 Questions

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Healthcare reimbursement continues to evolve, and every new CPT update creates challenges for OBGYN practices. As providers prepare for CPT 2027 , now is the ideal time to evaluate whether your OBGYN Billing Company is ready to manage upcoming coding changes, documentation requirements, payer policy updates, and compliance expectations. Even small coding changes can significantly affect global maternity billing, preventive gynecological services, Evaluation and Management (E/M) coding, surgical procedures, and reimbursement. If your billing partner is not prepared, your practice could experience increased claim denials, delayed payments, underpayments, and growing accounts receivable (AR). Preparing early allows practices to minimize disruption and maintain financial stability. Many providers rely on specialized OBGYN Billing Services , comprehensive medical billing services , advanced RCM services , and proactive Revenue Integrity strategies to successfully navigate annual coding ch...
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Common Outpatient Rehabilitation Therapy CERT Errors

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Billing Part B Outpatient Therapy Services

Outpatient rehabilitation therapy includes Physical Therapy (PT), Occupational Therapy (OT), and Speech-Language Pathology (SLP) services. Medicare covers outpatient PT, OT, and SLP services when:

  • A physician or Non-Physician Practitioner (NPP) certifies the “treatment plan,” called the Plan of Care (POC), ensuring:
    • A patient needs therapy services 
    • POC is: 
      • Established by a physician, NPP, our qualified therapist provides services 
      • Reviewed periodically by a physician or NPP 
    • A patient gets services under physician care 
  • POC certifying the provider’s name and NPI is on the claim 
  • Providers meet medical necessity, documentation, and coding requirements

where, 

  • CERT: Comprehensive Error Rate Testing
  • A physician is a Doctor of Medicine, osteopathy, podiatric medicine, and optometry (only for low vision rehabilitation). 
  • NPP includes a Physician Assistant (PA), Clinical Nurse Specialist (CNS), or Nurse Practitioner (NP). 
  • A qualified Therapist includes a PT, OT, or SLP who meets regulatory qualifications as applicable, including state licensure or certification.

Common Outpatient Rehabilitation Therapy CERT Errors

  • Missing certification and recertification(s): Physician’s, NPP’s, or therapist’s dated signature(s) approving the POC. Prevention: Confirm physician or NPP certified the POC (and recertified it when appropriate) with their signature and date.
  • Missing signature: Physician, NPP, or therapist who developed the POC and established treatment plan date. Prevention: Ensure you add your dated signature and professional identification (for example, PT, OT).

To learn more about Common Outpatient Rehabilitation Therapy CERT Errors, click here: https://bit.ly/3qSdiEY Contact us at info@medicalbillersandcoders.com/ 888-357-3226.

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