tci Medicare Compliance & Reimbursement - 2017 Issue 11

Benchmarking: How Does Your Physical Therapy Billing Stack Up Against Your Peers?

Medical necessity trips up PT claims. If you wonder where you stand in relation to other practices, you are not alone. A new Comparative Billing Report (CBR) from Palmetto GBA has the details to help you figure out how you compare to other physical therapists. Background: In its CBR released March 29, Part B MAC Palmetto GBA focused on claims issues, trends, and benchmarks that the payer has seen for Medicare providers who practice physical therapy (specialty 65). Palmetto initiated the analysis “because the OIG has found that Medicare spending for outpatient therapy was 72 percent higher in...

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