There is an error in the Medicare Outpatient Prospective Payment System (OPPS) Correct Coding Initiative procedure edit file released in January 2017. This error is causing certain combinations of occupational and physical therapy services to deny in error. CMS plans to fix the file error with its April update and had given interim instructions to Medicare Administrative Contractors.
Washington Hospital Services Industry Partner Para Healthcare has provided WSHA members with an information sheet detailing the error, as well as suggestions for a workaround and likely corrections to come. You can read the full article here.