tci Medicare Compliance & Reimbursement - 2003 Issue 38

Rehab: THERAPY CAPS GO INTO EFFECT

But therapists still hoping for yet another moratorium next year.  Unless and until Congress declares otherwise, the oft-postponed Medicare therapy caps are in effect. For the period from Sept. 1 through Dec. 31, beneficiaries face a combined $1,590 limit on outpatient physical therapy and speech language pathology, and a separate $1,590 limit for occupational therapy. Those limits will also apply over all twelve months of 2004. The caps were included in the Balanced Budget Act of 1997 but never went into effect due to repeated postponements by Congress and then the Centers for Medicare & Medicaid...

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