CMS Releases 2020 Medicare Physician Fee Schedule Final Rule

CMS Releases 2020 Medicare Physician Fee Schedule Final Rule

On November 1, 2019, CMS released the CY 2020 Medicare Physician Fee Schedule Final Rule.  The therapy industry has been anxiously awaiting CMS’s final decision on the application of the therapist assistant modifiers, and the Final Rule makes clear that CMS listened to the almost 9,000 comments they received on the therapist assistant modifiers. CMS finalized the following:

      • Only the minutes that the PTA/OTA spends independent of the therapist will count towards the 10% de minimis standard
      • A revised definition of a service, where the de minimis standard is applied to include untimed CPT codes and each 15-minute unit of codes timed in 15-minute increments
      • And, CMS did not finalize “the proposed documentation requirement to explain in the treatment note, in a short phrase or statement, the application or non-application of the therapy assistant modifier for each therapy service furnished; nor are we finalizing a requirement that the therapist and therapy assistant minutes be included in the documentation.”

For more information:

Access the CMS Fact Sheet here.

Access the Final Rule here.

Holly Hester

Holly Hester is Casamba’s Senior Vice President of Compliance & Education, as well as the Compliance Officer. She provides regulatory guidance and interpretation, clinical programming and content development, education and training steerage, and compliance support for the company. As a physical therapist for more than 20 years, Holly has multi-venue clinical and management experience, giving her a unique perspective on the integration of compliance and training with therapy service delivery and clinical practice.
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