medicare therapy cap Archives | PT Management

NC Medicaid Simplifies Authorization of Therapy for Adults

October 11, 2018
|
Comments off
|

NC Medicaid Simplifies Authorization of Therapy for Adults

North Carolina Medicaid has recently simplified its PT/OT authorization rules for patients who are 21 and older. https://files.nc.gov/ncdma/documents/files/10-A_3.pdf All of the prior rules limiting the number of visits […]

Read more
Occupational Therapy Webinars

Supervised Exercise Therapy Approved for Medicare Patients with PAD

September 13, 2017
|
Comments off
|

Supervised Exercise Therapy Approved for Medicare Patients with PAD, Medicare Guidelines For Physical Therapy

 

CMS has recently concluded that supervised exercise therapy improves health outcomes for Medicare patients with intermittent claudication due to peripheral artery disease (PAD) and the this exercise therapy is at least […]

Read more

Medicare Therapy Cap and Therapy Cap Exceptions for 2017

August 7, 2017
|
Comments off
|

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 […]

Read more
Medicare therapy cap

SGR and Medicare Therapy Cap Exceptions Update

March 10, 2015
|
Comments off
|

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 […]

Read more
physical therapy and medicare

2015 Medicare Therapy Cap Update

January 9, 2015
|
Comments off
|

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 […]

Read more