Changes to Medicare rule for 2020 And Its Impact on Therapists

Occupational Therapy Assistants/Physical Therapy Assistants Modifier Policy​ Despite challenges from National Therapy Associations and other national therapy stakeholders, CMS has proposed Occupational Therapy Assistants and Physical Therapy Assistants payment reduction modifier policy that would reimburse only 85% of the Medicare fee schedule for services that involve both a therapist and assistant if the assistant provides therapy care for more than 10% of the total treatment time in a given therapy session. CMS introduced the CO (COTA) and CQ (PTA) modifiers in the CY 2019 MPFS proposed rule. These new modifiers are to be used on the claim line to identify services furnished by an assista