Extension of Therapy Cap Exceptions Process

According to the Centers for Medicare & Medicaid Services (CMS), on March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act, which extends the exceptions process for outpatient therapy caps (see Section 3103).  Outpatient therapy service providers may continue to submit claims with the KX modifier, when an exception is appropriate, for services furnished on or after January 1, 2010, through December 31, 2010.  

The therapy caps are determined on a calendar year basis, so all patients began a new cap year on January 1, 2010.  For physical therapy and speech language pathology services combined, the limit on incurred expenses is $1,860.  For occupational therapy services, the limit is $1,860.  Deductible and coinsurance amounts applied to therapy services count toward the amount accrued before a cap is reached.

APTA Submits Comments on EHR Testing and Certification Process

April 21, 2010 · Posted in Documentation, meaningful use, physical therapy · Comment 

The American Physical Therapy Association (APTA) recently submitted comments to the Office of the National Coordinator for Health Information Technology in response to a proposed rule that would establish a temporary program for the testing and certification of electronic health records (EHRs).

The proposed rule, released March 10, is the third and final step in the rulemaking process to establish the incentive payments program for the meaningful use of certified EHRs. While physical therapists are not currently eligible for incentive payments under the program, APTA’s comments were designed to ensure that the testing and certification processes established under the temporary program meet the needs of health care providers including physical therapists.

Comments on the permanent testing and certification programs are due May 10.

Source:  APTA.org

CMS Announces Series of Nationwide RAC 101 Calls

April 7, 2010 · Posted in RAC · Comment 

The Centers for Medicare and Medicaid Services (CMS) has announced a series of “Nationwide RAC 101 Calls.” The calls, open to the public healthcare community, are scheduled for late April and early May as follows:

  • April 28, 2010 1:00pm – 2:30pm EST: Nationwide RAC 101 Call, 1-877-251-0301
  • May 4, 2010 1:00pm – 2:30pm EST: Nationwide RAC 101 Call for Home Health and Hospice Providers, 1-877-251-0301
  • May 5, 2010 1:00pm – 2:30pm EST: Nationwide RAC 101 Call for DMEPOS, 1-877-251-0301
  • May 12, 2010 1:00pm – 2:30pm EST: Nationwide RAC 101 Call for Physicians, 1-877-251-0301

For updated call schedule information, go to http://www.cms.gov/RAC/03_RecentUpdates.asp#TopOfPage