medicare therapy cap exceptions

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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Medicare therapy cap

SGR and Medicare Therapy Cap Exceptions Update

March 10, 2015
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Last year’s SGR fix and extension of the Medicare therapy cap exceptions are both set to expire at the end of this month.

As you can read in more detail in the summaries below, although there is continued talk of a permanent SGR fix, most […]

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