Join us as we review billing guidelines for physical and occupational therapy. We'll review when to apply the KX modifier and the importance of appropriate medical documentation. National Government Services has a Local Coverage Determination (L33631) and a Billing and Coding Article (A56566) for outpatient physical and occupational therapy services. It will be beneficial to review this policy prior to attending the session. There will be an opportunity to address your questions following the presentation.

This Let’s Chat session focuses on Prior Authorization for certain hospital outpatient department (OPD) services and is an informal opportunity for you to chat with our staff about the selected topic. During the session, you may ask us questions on the selected topic and our panel of relevant subject-matter experts will address. We encourage your participation and questions. You may submit questions up to two days before the session via the provided emails. Please submit each question once and exclude any protected health information (PHI). Presubmitted questions will be addressed during the session. Email either: NGSJ6PriorAuthorization@elevancehealth.com or NGSJKPriorAuthorization@elevancehealth.com This is a Q&A session; therefore, no presentation materials are offered.

National Government Services is committed to reducing provider burden associated with Medicare claim denials, reopenings and appeals. Filing an inquiry on a Medicare claim can be frustrating and costly to your organization. This delay in payment will cost your organization time and money. It’s critical to provide all necessary information on the initial claim to avoid the reopening/redetermination administrative burden. To help you avoid common pitfalls that could delay getting your claim paid, we encourage you to attend this open forum session for an opportunity to ask questions about this topic. Answers will be provided by Provider Outreach and Education Subject Matter Experts.