Therapy Threshold, KX Modifier & The ABN FAQs
In this week’s article, I wanted to answer some of the most commonly asked questions I receive concerning the Medicare therapy threshold (formerly, the Medicare therapy cap), the KX modifier, claims exceeding $3,000 in a calendar year and when to and when not to use an advance beneficiary notice of noncoverage (ABN) for Medicare beneficiaries who exceed the annual therapy threshold and $3,000 in a calendar year. In this article, I will answer the following questions: 1. Why is it called the therapy threshold and not the therapy cap? 2. Why must I still use the KX modifier? 3. Will