Introduction:
2023 certainly brought A LOT of changes to the skilled nursing and rehab world. The 2023 Final Rule brought the most changes seen since the implementation of PDPM in 2010. Some of the changes included removal of section G, transition to GG, modifications in Section C of the MDS, removal of minutes tracking in discharge MDSs and many changes to ICD-10 and case-mix. However, one change that the rehab world has been advocating for and now eagerly awaits is the implementation of ‘new’ CPT codes, effective January 1st of 2024. The Centers for Medicare & Medicaid Services (CMS) has released the 2024 Medicare Physician Fee Schedule (MPFS) final rule, which establishes payment policies and rates for Part B (outpatient) audiology and speech-language pathology services and beginning in 2024, SLPs can report caregiver training services (CTS) without the patient present when provided under an established, individualized, and patient-centered plan of care. This marks the first time CMS will allow therapists, including SLPs, to bill and receive payment for services without the patient present. And as with any change in CPT coding there are questions; What Are the ‘New’ CPT Codes? Why the Change? How do I use these codes? Who can I use these codes with? This resource we created to address those questions and more.
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