News, Skilled Nursing Facility

CMS recommends billing staff become aware of updates to “Always Therapy” code edits

The Centers for Medicare & Medicaid Services (CMS) recently published an update that deleted the procedure code 97532 from the list of “Always Therapy” codes used to track the Medicare Part B therapy caps. The coding requirement change is effective for services furnished on or after January 1, 2018.

CMS notes that this update contains no new policy, but instead aims to improve the enforcement of longstanding, existing instructions. The agency instructs facilities to make sure billing staff are aware of these revisions.

Details of this update are outlined in CMS’ MLN article.