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Outpatient Occupational and Physical Therapy Services Billing Guide
- Introduction to Outpatient OT and PT Services
- Outpatient Occupational and Physical Therapy Coverage
- Caregiver Training Services
- KX Modifier Threshold
- 2024 Annual Update to the Therapy Code List: Remote Therapeutic Monitoring
- Annual Update to the Therapy Code List
- Targeted Medical Review
- Functional Reporting - Using the G Codes
- What is the Advance Beneficiary Notice of Noncoverage and When to Use It in Outpatient Therapy
- Maintenance Programs
- Multiple Procedure Payment Reduction
- The National Correct Coding Initiative
- Comprehensive Error Rate Testing Program
- Recovery Auditor
- Common Billing Errors and Remittance Message
- Medical Review Therapy Documentation Checklist for Additional Development Request Letters
- Common Questions and Answers
- Related Content
- Related Articles
Comprehensive Error Rate Testing
The CERT program is designed to determine if Medicare contractors are processing and paying claims correctly.
- CERT Program Information
- CERT C3HUB provider website - On this page you will find:
- Documentation Request Listings: Printable documentation lists to support Medicare claims based on provider/billing type
- CERT Announcements (bottom of page): Pertinent information from the CERT contractor
- Sample Request Letters: Sample medical record request letters you may receive from CERT documentation center
- Letter and Contact Information: Schedule for ADR and determine if you are eligible for the Chain Address Program
- Claim Status Search: Tool to determine if CERT received submitted documentation and once the decision is made, who you can contact at the MAC for the next step
- MLN Provider Compliance Tips - Background of improper payments by topic, denial reasons and how to prevent denials with resources
MD Signature Requirements
Did you know the MD signature is required on orders for laboratory services, diagnostic and therapeutic procedures, therapy treatment plans and physician progress notes? Also, if signature is not legible you will need to submit a signature key.
Please refer to the following related article for more details:
Revised 11/13/2024