Eli's Rehab Report

Published on Mon Dec 31, 2012 PDF

If you’re affected by the Medicare therapy caps, you’re in for a welcome surprise. The caps will not count for therapy services provided in the first quarter of the year, according to a notice from regional home health intermediary Cahaba GBA.

Cahaba indicated this information came directly from the Centers for Medicare & Medicaid Services and emphasized that it affects all Medicare providers under the caps. So, it’s likely your MAC, FI, or carrier has a similar message on its Web site as well.

The story: Due to delays in updating the claims system with Transmittal 1678, “claims for outpatient therapy services provided during the January-March 2009 quarter, that were submitted and processed prior to April 6, 2009, were not applied to the 2009 calendar year (CY) therapy cap limitations,” the RHHI said.

The free ride means some of your Part B therapy patients will get some extra room in their caps this year. CMS won’t go back and apply the amounts that have already been billed toward the cap. But it will apply any amounts billed after April 6 to the cap, Cahaba explained.