Home Health & Hospice Week

The new year also brought a new therapy threshold amount. For Part B therapy services — not those furnished under a home health plan of care — the per-beneficiary 2024 threshold amount is $2,330 for physical therapy and speech-language pathology services combined; and $2,330 for occupational therapy services, the Centers for Medicare & Medicaid Services explains in a recent MLN Matters article. That’s up $100 from last year.

Remember: These are the “thresholds above which claims must include the KX modifier as a confirmation that services are medically necessary as justified by appropriate documentation in the medical record,” CMS explains on its therapy services webpage. “Claims for services over the KX modifier threshold amounts without the KX modifier are denied.”