2016 Therapy Updates

With a new year beginning in a few days, there is a new therapy cap dollar amount and new deductible for calendar year 2016 for Medicare beneficiaries. In addition, updates to the manual medical review process for claims exceeding $3700 have been implemented by the Medicare program. In this article, I will answer the following…

2016 Holding of Medicare Claims

On October 30, 2015, the CY 2016 Medicare Physician Fee Schedule (MPFS) final rule was published in the Federal Register. In order to implement corrections to technical errors discovered after publication of the MPFS rule and process claims correctly, Medicare Administrative Contractors will hold claims containing 2016 services paid under the MPFS for up to…