As per Aetna Updates: starting December 1,2023 the Occupational Therapy Assistants and Physical Therapy Assistants will get their own reimbursement for performed services.
Reimbursement amount: 85% of Allowed amount.
Please append the following modifiers to the services that are performed by the PTAs and OTAs:
CO-occupational therapy services performed in part or as a whole by an Occupational Therapy Assistant
CQ-physical therapy services performed in part or as a whole by a Physical Therapy Assistant.
This change applies to Medicare and Commercial plan types.
Find this type of content useful? Follow my blog for more medical billing and coding updates/changes from various insurance payers.
Previous Blog Posts:
MA Common Wealth Alliance: new prior auth req BH services
If you are a BH provider that accepts Senior Care Options and One Care Behavioral Health members? Then the following blog post is for you! What is changing? Which services are subject to this change? Submitting a notification: Submitting a prior auth: Successful process Find this information useful? Follow my blog foe more!
Healthfirst: prior auth for codes 10/1/26
If you are a NY provider that accepts Healthfirst members, then the blog post is for you! Starting 10/1/26 there will be new codes that will become effective and will require and auth. Codes that will require an auth through Healthfirst firecty: The codes that will be managed by EviCore: Please remember that patient benefits…
Aetna: CA HMO provider disputes submission changes
Announcement- if you are a provider that sees California Aetna HMO plan; then effective immediately you should not submit the provider dispute through Availity portal and instead please mail the to folliwing address: P.O. Box 14020Lexington, KY 40512 As per Aetna- Fresno office is closed. Find this information useful? Follow my blog for more! #denialmanagement…
KR2 Medical Billing 
Leave a comment