tci Medicare Compliance & Reimbursement - 2018 Issue 3

Industry Notes: Part B Therapy Caps Get a Reprieve for Now

Therapy providers continue to lobby for concrete removal of therapy caps. Medicare is backing off its therapy cap policy that expired on Jan. 1 for Part B providers who offer outpatient therapy in the home, new guidance suggests. But the same doesn't go for rural add-on payment bonuses that expired in the New Year, also. "Several Medicare legislative provisions affecting providers and beneficiaries recently expired, including exceptions to the outpatient therapy caps, the Medicare physician work geographic adjustment floor, add-on payments for ambulance services and home health rural services, payments for low volume hospitals, and payments for Medicare dependent...

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