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Tag: LCD

Does Medicare Cover Ionto?

September 12, 2015 0 Comments
Does Medicare Cover Ionto?

Therapists always seem to ask “does Medicare cover ionto?”  There is a bit of urban legend that Medicare does not cover this constant attendance modality, where in fact there is not a National Coverage Determination (NCD) that speaks to the use of ionto. According to the clinical responsibility description of iontophoresis at SuperCoder: Iontophorehis (Ionto) is […]

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Trailblazer MAC J4 Physical Medicine & Rehabilitation Outpatient LCD Draft Released

November 4, 2009 0 Comments
Trailblazer MAC J4 Physical Medicine & Rehabilitation Outpatient LCD Draft Released

Trailblazer , the MAC J4 contractor has released a DRAFT Physical Medicine & Rehabilitation Outpatient LCD (local coverage determination).   The draft LCD is posted as of October 30, 2009 for a 45 day comment period that ends December 14, 2009.  According to Trailblazer: This LCD establishes frequency limitations of 5 (15-minute) PT or OT services per […]

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Recovery Audit Contractors & Local Coverage Determinations for Therapy

September 17, 2009 0 Comments
Recovery Audit Contractors & Local Coverage Determinations for Therapy

 Automated reviews of rehab untimed codes are underway by the Recovery Audit Contractors in Region C & Region D.  It is entirely possible that rehab providers have received recoupment letters as you read this.  Simultaneously within CMS the conversion from fiscal intermediaries and carriers to the Medicare Administrative Contractor format has resulted in the development/conversion […]

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First Coast Service Options Updates Rehab LCDs

May 7, 2009 0 Comments
First Coast Service Options Updates Rehab LCDs

First Coast Services Options, the Medicare Administrative Contractor (MAC) for Florida has updated the rehab local coverage determinations (LCD) for Part A and Part B.   According to a FCSO statement regarding the changes: Indications and Limitations of Coverage and/or Medical Necessity” section of this LCD has been revised under Neuromuscular Reeducation (CPT code 97112) to […]

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