2015 Medicare Therapy Cap Update

physical therapy and medicare
January 9, 2015
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For 2015, the Medicare therapy cap increases to $1,940. The cap continues to combined PT and SP in one $1,940 cap and OT has a separate $1,940 cap.

The medicare therapy cap exception is available for dates of service ending on March 31, 2015. The cap exception will be available after March 31 only if it is extended by Congress like it has been for the past few year. We expect that the cap exception will be extended.

Keep in mind that the manual medical review process remains in place for Medicare patient therapy costs above $3,700 per year.