medicare cap 2015 Archives | PT Management

Medicare Therapy Cap and Therapy Cap Exceptions for 2017

August 7, 2017
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As we approach the latter months of this year, this is a reminder of how the Medicare therapy cap rules apply during 2017.

 

Regular Medicare Therapy Cap.  The annual Medicare therapy cap is $1,980 for 2017.  As in past years, the cap for physical and speech […]

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Medicare’s Orthotic Documentation Requirements

July 10, 2017
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June 2017

CMS has very specific documentation requirements that apply to typical off-the-shelf and custom orthotics and other “DME” supplied by orthopaedic groups and hand therapy practices. DME carriers are auditing claims and specifically requesting this documentation.

Whenever a Medicare provider supplies and bills for DMEPOS […]

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physical therapy and medicare

2015 Medicare Therapy Cap Update

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 […]

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