On February 9, 2018, the United States Senate and House of Representatives passed H.R. 1892 – “Bipartisan Budget Act of 2018” and President Trump signed the bill into law at approximately 8:30am ET on February 9, 2018. The bill passed the Senate by a vote of 71-28 and passed the House of Representatives by a vote of 240-186.
This legislation contains several important implications that will have an impact on outpatient therapy services provided by physical therapists, physical therapist assistants, occupational therapists, occupational therapy assistants and speech-language pathologists. This legislation changes the following regarding outpatient therapy services:
- Annual outpatient therapy cap, exception process, and use of the KX modifier
- Dollar threshold for the targeted medical review process
- Payment rates for services provided by a physical therapist assistant or occupational therapy assistant
In this article, I will explain changes to the payment rates for services provided to a Medicare beneficiary receiving outpatient therapy services by a physical therapist assistant (PTA) or an occupational therapy assistant (OTA). To read about the changes to the annual therapy cap, exception process and use of the KX modifier, click HERE. To read about changes to the dollar threshold for targeted medical review, click HERE.
As of the passage of this bill, outpatient therapy services provided to Medicare beneficiaries by a PTA or OTA with dates of service on and after