"Physical therapy is not a subspecialty of the medical profession and physical therapists are not medical doctors; we are a separate profession that provides a unique service that physicians are unable and untrained to provide."

Letter to the AMA from the APTA, Dec 2009

Saturday, March 24, 2012

Free 1-hour Webinar on Excessive use of the KX modifier

Florida's Medicare Admistrative Contractor (MAC) First Coast Service Options (FCSO) has identified excessive use of the KX modifier on claims submitted by providers billing outpatient therapy services.

Medicare only reimburses for services that are considered to be reasonable and necessary for the diagnosis and treatment of illness or injury or to improve the functioning of a malformed body member.

Medicare does not cover maintenance therapy.

The webinar on the Therapy cap exception process and use of the KX modifier will be held on Tuesday, May 22 at 11:30 AM-12:30 PM EST. The delivery language is English.
  • Are you the person responsible for billing outpatient therapy services for your provider?
  • Are you a physician, non-physician practitioner, or qualified therapist performing outpatient therapy services for Medicare beneficiaries?
  • Do you know how to determine if the beneficiary qualifies for the automatic exception process?
  • Are you or your billing company appending the KX modifier to all therapy claims?
  • Did you know that excessive use and abuse of the KX modifier could result in a probe review of your practice?
If you've answered yes to any of these questions, then you’ll want to mark your calendars.

You do not want to miss this opportunity to learn valuable information about how and when it is appropriate to use the KX modifier on outpatient therapy claims.

During this free one hour educational event, you'll have the opportunity to learn more about:
  • Results of data analysis and excessive use of the KX modifier
  • The financial limitations of the therapy caps
  • The automatic exception process and when it’s appropriate
  • How to comply with Medicare regulations regarding the exception process
  • How to determine if the Medicare beneficiary meets the criteria for the exception process
  • How to take advantage of self-service tools that can help you make the most of your valuable time
Do you want answers to the questions you have?

To submit your questions in advance of the webcast, just sign-up for the webcast on FCSO University ; select the hyperlink under “Course Activities” and submit your questions.

Please submit your questions no later than May 8.

You can't afford to miss this valuable opportunity to learn and interact directly with your Medicare experts at FCSO.

To participate in this webcast, please register by Monday, May 21.

This program has the prior approval of the American Academy of Professional Coders (AAPC) for 1.0 continuing education unit (CEU).

Granting of prior approval in no way constitutes endorsement by the AAPC of the program content or the program sponsor. Please click here for CEU documentation instructions.

Register now.

Note: If you do not have a training account, please click here to learn how to create one.

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Tim Richardson, PT owns a private practice at Medical Arts Rehabilitation, Inc in Palmetto, Florida. The clinic website is at MedicalArtsRehab.com.

Bulletproof Expert Systems: Clinical Decision Support for Physical Therapists in the Outpatient Setting is a manager's workbook with stories, checklists, charts, graphs, tables, and templates describing how you can use paper-based or computerized tools to improve your clinic's Medicare compliance, process adherence and patient outcomes.

Tim has implemented a computerized Clinical Decision Support (CDS) system in his clinic since 2006 that serves as a Reminder, Alerting, Prompting and Predicting CDS using evidence-based tests and measures.

Tim can be reached at
TimRichPT@BulletproofPT.com .

"Make Decisions like Doctors"


Copyright 2007-2010 by Tim Richardson, PT.
No reproduction without authorization.

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Consistent with the American Physical Therapy Association Vision Statement for Physical Therapy 2020, the American Physical Therapy Association supports exclusive physical therapist ownership and operation of physical therapy services.