Procedure Code for Cognitive Rehabilitation Therapy Services – Processing Issue
TO: Office of Long-Term Living (OLTL) Cognitive Rehabilitation Therapy Providers
RE: Procedure Code for Cognitive Rehabilitation Therapy Services – Processing Issue
This notice is to advise Cognitive Rehabilitation Therapy Providers that after removing service procedure 97532 SE and replacing it with the new procedure code 97127 for Cognitive Rehabilitation, a processing issue occurred causing many claims to deny.
OLTL is aware of this issue and is working on a system fix. OLTL will send a follow up communication in the very near future advising providers of the fix and when it is appropriate to rebill. In the meantime, OLTL asks that providers refrain from billing for Cognitive Rehabilitation in the Independence and OBRA waivers.
If you have any questions regarding the procedure code change, please contact the OLTL Provider Inquiry Unit at RA-ProviderOperation@pa.gov or 1-800-932-0939.
A listserv has been established for ongoing updates on the CHC program. It is titled OLTL-COMMUNITY-HEALTHCHOICES, please visit the ListServ Archives page at http://listserv.dpw.state.pa.us to update or register your email address.
Please share this email with other members of your organization as appropriate. Also, it is imperative that you notify the Office of Long-Term Living for changes that would affect your provider file, such as addresses and telephone numbers. Mail to/pay to addresses, email addresses, and phone numbers may be updated electronically through ePEAP, which can be accessed through the PROMISe™ provider portal. For any other provider file changes please notify the Bureau of Quality and Provider Management Enrollment and Certification Section at 1-800-932-0939 Option #1.
To ensure you receive email communications distributed from the Office of Long-Term Living, please visit the ListServ Archives page at http://listserv.dpw.state.pa.us to update or register your email address.
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