CMS Clarifies IRF Medical Reviews

The Centers for Medicare and Medicaid Services (CMS) has issued clarifying instructions for conducting medical review of Inpatient Rehabilitation Facility (IRF) claims when reviewing the requirements for the intensive level of rehabilitation therapy services. The instructions state the Medicare Administrative Contractors, Supplemental Medical Review Contractor, Recovery Audit Contractors and the Comprehensive Error Rate Testing contractor…

Congress Repeals Medicare Therapy Cap

In the early morning hours of February 9, 2018, the United States Senate and House of Representatives both passed legislation that repeals the outpatient therapy cap; however, changes payment rates for services provided by a physical therapist assistant and/or occupational therapy assistant to Medicare beneficiaries receiving outpatient therapy services. In addition, the legislation also makes…