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Medicare and Rx

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I read in the Medicare Claims Processing Manual " 20.1 - Discipline

Specific Outpatient Rehabilitation Modifiers - All Claims " that GP

modifiers are required for outpatient PT services. Is this true? I

think we have been getting paid for services even without the

modifier.

On a separate issue, can someone cite a reference or provide more

information regarding the length of time of validity for a

prescription for PT services for non-Medicare pts? I keep hearing

6 months is the cutoff but haven't been able to find a reference. I

also know that conservative common sense PTs use a recertification

from the MD every 30 days, whether it's Medicare or not.

Thanks,

BOB Schroedter, PT

Polestar

Miami, FL

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