Wednesday, February 19, 2020

Medicare Part B Therapy Procedure Payment Rates for 2020

Dan Ciolek

On November 15, 2019, the Centers for Medicare and Medicaid Services (CMS) published the calendar year 2020 physician fee schedule payment Final Rule that updated the payment rates for individual billing procedure codes used to report outpatient therapy services.  In addition, the Final Rule also finalized coding requirements for the reporting of therapy services furnished in whole or in part by a therapy/therapist assistant.  AHCA previously provided members with a rate file based on information CMS had provided in December 2019.  However, in late January CMS updated the files which changed the fee schedule rates in many geographic locations due to legislation enacted in late December 2019.  AHCA has updated the CY 2020 Rate File which can be found here.  A fact sheet summarizing the changes can be found here.

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