Eli's Rehab Report
Industry Note:
CMS Ups Therapy Caps for 2016
Published on Tue Mar 01, 2016
You have another $20 to work with if you furnish outpatient Part B therapy to patients in their homes. The Centers for Medicare & Medicaid Services (CMS) announced the 2016 therapy cap will be $1,960 for physical therapy (PT) and speech-language pathology (SLP) combined, and $1,960 for occupational therapy (OT). That’s up from $1,940 in 2015.
The outpatient therapy cap exceptions process (using the KX modifier) and manual medical review (MMR) will continue at the $3,700 threshold for PT and SLP services combined, which were extended through Dec. 31, 2017, notes the American Speech-Language-Hearing Association (ASHA) on its website.
Other Articles in this issue of
Eli's Rehab Report
- Compliance:
Safeguard Your Practice from Unforeseen Stark and Anti-Kickback Violations
Wellness centers: Fertile ground for profit or a ticking legal time bomb? Creative business arrangements [...] - Coverage Determinations:
Get Up to Speed On These Coding and Coverage Scenarios
You could be bleeding cash, if you don’t keep these guidelines in mind. Accurate coding [...] - Medical Records:
Foster Trust When Responding to Patient Request
Don’t overlook your patient’s right to access her medical records. Staying compliant with PHI and [...] - Reader Question:
Don't Allow Anyone to Bully You
Question: Often I find myself dealing with some really rude patients. Some bully me on the [...] - Industry Note:
CMS Ups Therapy Caps for 2016
You have another $20 to work with if you furnish outpatient Part B therapy to [...] - Industry Note:
Look for These Red Flags in Therapy Reporting & Documentation
If you use a contractor to provide therapy to your residents, beware that the contractor’s [...]
View All
