tci Part B Insider - 2013 Issue 13

In other news

If you furnish outpatient Part B therapy, prepare now for some major headaches billing for patients who exceed the $3,700 therapy threshold. Review for therapy claims when the patient has received $3,700 in therapy services is required for Part B therapy. In some states, that review will take place before you get paid, while in the others it will occur afterward. “Eleven states will be participating in the Recovery Audit Prepayment Review Demonstration,” MAC Palmetto GBA explains on its website. “All therapy claims that have exceeded the $3,700 therapy cap threshold for the...

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