DecisionHealth, DecisionHealth - 2012 Issue 9 (September)

Avoid denials by understanding CMS’ therapy cap changes that start Oct. 1

Pay attention to a notice from your Medicare administrative contractor (MAC) about when your practice will be subject to a new manual medical review of claims for patients who have reached the $3,700 therapy threshold.

The MAC will tell you when your reviews will start – Oct. 1, Nov. 1 or Dec. 1, says Stephen Levine, PT, DPT, MSHA, partner, Fearon & Levine Consulting, Fort Lauderdale, Fla. The changes are effective through Dec. 31.

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