Industry Note:
Prior Authorization For Therapy Gone
Published on Fri Mar 22, 2013
If you furnish Part B outpatient therapy in the home, there’s no longer a way to avoid prepayment review of therapy claims that exceed the threshold. “Therapy cap claims no longer require prior authorization,” HHH Medicare Administrative Contractor Palmetto GBA explains on its website. “Once a claim is received that has outpatient therapy services that exceed the $3,700 threshold, the [...]