tci Part B Insider - 2010 Issue 13

PHYSICIAN NOTES: Health Care Legislation Extends Therapy Cap Exceptions Process and Lab Billing Moratorium

Plus: CMS issues comprehensive guidance regarding the ordering/referring provider edits. Outpatient therapy providers and labs that bill the technical component of pathology services for hospital patients are both winners, thanks to President Obama's new health care legislation, HR 3590. As the ink continues to dry on the Patient Protection and Affordable Care Act (PPACA), CMS is slowly but surely releasing details on how the law will impact practices that treat Part B patients. Outpatient therapy: Section 3103 of the law extends the exceptions process for outpatient therapy caps, which means that these providers "may continue to submit claims with...

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