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Medicare Compliance & Reimbursement

Rehab:

CONGRESS PUTS A CAP IN THE THERAPY CAPS

Published on Thu Dec 11, 2003

Thanks to rehab providers' tireless lobbying efforts, they can kiss the much-maligned therapy caps goodbye - at least for the next two years.

The Medicare reform bill includes a moratorium on the therapy caps effective the day the law is enacted through calendar year 2005.

Other therapy-related provisions of the Medicare reform bill are as follows:

  • The Medicare Payment Advisory Commission will study the feasibility of allowing Medicare fee-for-service beneficiaries direct access to outpatient physical therapy services.

  • Rural providers will see payment increases.

  • There will be an 18-month moratorium on the self-referral whole hospital exemption for new specialty hospitals, during which time MedPAC will examine the situation.

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