tci Medicare Compliance & Reimbursement - 2008 Issue 6

Compliance: Get To Know Therapy Cap Amounts

Prepare for $1,810 limit starting July Congress placed a moratorium on Medicare's 2008 therapy cap until June 30, but that doesn't mean you should avoid learning about this year's cap features. Effective July 1 (when the moratorium expires), occupational therapy services will be subject to a $1,810 Medicare limit, while combined physical therapy and speech-language pathology reimbursement will face a separate $1,810 cap. Therefore, if your physical therapist treats a patient on July 10 and you bill $800, and a speech-language pathologist treats the patient on Aug. 1 and bills $600, the patient will only be...

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