tci Medicare Compliance & Reimbursement - 2008 Issue 27

Industry Notes: Don't Submit Modifier KX For Therapy Services

Plus: OIG finds massive overbilling of some cancer drug units Legislators may be playing political football with your pay, but until the physician pay fix is signed into law, physical, speech and occupational therapists face caps on their services for Medicare beneficiaries. Although H.R. 6331 would reinstate the therapy exceptions process that therapists have benefited from this year, the law is not yet in effect, so Medicare beneficiaries are limited to just $1,810 in occupational therapy services and a separate $1,810 cap for a combination of physical therapy and speech-language pathology. For dates of service of...

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