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OTs, PTs, and other rehabilitation professionals use CPT 97530 for "dynamic activities to improve functional performance." With this definition, you may think any treatment qualifies as Therapeutic Activities. But payers are looking for something more specific in your documentation for reimbursement.
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Without thorough documentation, payers will assume treatments aren't needed and could deny reimbursement. Skilled service documentation proves the necessity of your treatment. Use these tips to show the necessity of treatment and ensure reimbursement.
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Q&A with GATA Hall of Famer, Paul Higgs – Successful Reimbursement for Athletic Training Services
CategoriesReimbursement and CPT codes are uncharted territory for most Athletic Trainers. But one trailblazer has built a successful system of billing and reimbursement for athletic training services at Valdosta State University.
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Get a detailed summary and reimbursement tips for CPT 97110: Therapeutic Exercise, CPT 97112: Therapeutic Procedure (stroke and non-stroke), and 97530 Therapeutic Activities.
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To better measure the impact of the new reimbursements, we took a deeper look at the average changes in CPT code 97530 (and 97112) in multiple jurisdictions. Medicare now pays an average of $10.30 per unit more for 97530 than 97110.