[Question-other] How does price transparency work with therapy services?

Does anyone have any experience or suggestions for meeting the criteria for CMS “final rule” on price transparency? Specifically, how does this ruling effect outpatient Physical Therapy, Occupational Therapy and Speech Therapy? I thought they were all part of the 70 required ancillary services listed by CMS in the final ruling. I haven’t heard anything about therapy in any of the articles or videos I’ve seen. The CPT codes that a therapist bills depend on what activities the therapist actually performs during treatment which vary for almost every treatment session. There are also 3 different “levels” of evaluation for each discipline (PT, OT, and ST) based on the complexity of the evaluation . This doesn’t even begin to take into account what each patient’s insurance will cover or other factors like co-pays. Has anyone come up with a process that provides an appropriate estimate to give patients prior to their treatment? Any advice would be helpful.

https://ift.tt/eA8V8J Submitted March 25, 2021 at 09:27AM by ALZknowing https://ift.tt/3rth8iA