01/31/18
2018 Therapy Cap Questions & Answers
With the 2018 therapy cap now beginning its 5th week, I am still receiving many questions concerning the therapy cap. In this article, I will answer the following questions: What is the 2018 therapy cap dollar threshold? How is the amount that is applied to the annual therapy cap dollar threshold calculated? How does the annual Part B deductible impact the annual therapy cap? What is the current status of the therapy cap exception process (ie. use of KX modifier)? What is the current status of the $3700 manual medical review threshold? What settings does the therapy cap apply to?
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