Home Health & Hospice Week

Industry Note:

Dodge Costly ADRs For Your Part B Therapy Services

Pay attention to preapproval requests under Medicare's new process.If you're submitting preapproval requests for Part B therapy cap exceptions, you don't want to waste time using last year's form, Medicare Admini-strative Contractor NHIC reminds providers in a re-cent message. "Version 6.0 offers the ability to check off more than one discipline for physical therapy, speech language therapy, or occupational therapy for your preapproval requests," the note says.Remember: For home health agencies, the $3,700 therapy cap applies only to outpatient therapy furnished under Part B. It does not affect therapy furnished under a home health plan of care.Medicare is fully into Phase II of its therapy cap preapproval process. "As of October 17, 2012, providers identified in Phase II may now submit pre-approval requests for dates of service on or after Nov. 1, 2012 for beneficiaries over the $3,700 threshold," NHIC adds. "Please note that Phase I providers should continue to [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Home Health & Hospice Week

View All