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Weekly News Scan: AOTA Opposing NCCI Edits, Humana Adopts PTA Coding System, On-site PT Clinics Save on Injury Costs

Welcome to the News Scan!  This week we hear from the AOTA on their opposition to the recent changes to NCCI edits, learn how Humana is adopting the PTA coding system and why some companies are making it easier for their employees to get PT. 

We hope you enjoy!

AOTA Opposing Changes to NCCI Edits, AOTA, January 3, 2020

In late December, AOTA became aware that the Centers for Medicare & Medicaid Services (CMS) accepted two changes to the National Correct Coding Initiative (NCCI) edits that affect occupational therapy. Although changes to NCCI edits are effective quarterly, AOTA is advocating for an earlier correction to the NCCI edits on 97530 and 97150. Read the article to learn what you can do to support the AOTA’s efforts.


Humana Adopts PTA Coding System, Anticipates Payment Differential Beginning in 2022, PT in Motion, January 22, 2020:

Commercial health insurance giant Humana has announced that it’s falling in line with rules from the Centers for Medicare and Medicaid Services designed to establish an 85% payment differential for therapy services delivered “in whole or in part” by a PTA or occupational therapy assistant. Read the article to learn what the APTA is doing to limit the adoption of this policy by other payers.

On-site Physical Therapy Clinics Can Save Thousands on Injury and Medical Costs, Employee Benefit News, January 21, 2020:

A growing number of companies are offering a unique benefit — on-site physical therapy clinics that are helping make it easier for employees to get treatment for injuries, whether they happen inside or outside of work. Read the article to learn more about this trend and its impact on employee wellness.

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