For standard fiscal year ends, the cost report is due five months after the fiscal year end (FYE) date (the last day of the fifth month). For nonstandard fiscal year ends due to a change of ownership or a termination, etc., the cost report due date is the greater of 150 days from the FYE or 37 days after the cost report reminder letter has been sent to the provider. If the due date falls on a holiday or weekend, the cost report is due the next business day.

No. The services provided by physical therapist assistants (PTAs) cannot be billed incident-to a physician/non-physician practitioner (NPP), because PTAs do not meet the qualifications of a therapist. Only the services of a licensed/registered physical therapist can be billed incident-to a physician's service. PTAs may not provide evaluation services, make clinical judgments or decisions, or take responsibility for the service. PTAs act at the direction and under the supervision of the treating physical therapist and in accordance with state laws.

Refer to section 8 of the SPOT User Guide.

Refer to section 6 of the SPOT User Guide.

Refer to: Restricted codes for claim reopenings

There are two tabs under eligibility that will provide helpful information regarding other insurance. 

The Medicare Advantage plan tab will provide you with the name, address, and other information for a patient’s Medicare Advantage plan, if applicable. The MSP (Medicare secondary payer) tab will provide the reason that Medicare is secondary, as well as the other insurance effective date and term dates, name, policy number and address. 

All eligibility information is received from the HIPAA Eligibility Transaction System (HETS). If HETS is unavailable or experiencing any system issues, information may not be available.