Billing Above the Therapy Cap

I often receive this question from people around the United States. The Medicare beneficiary has exceeded their annual therapy cap dollar threshold and they have a secondary insurance that will pay for therapy above the cap, how do I get the Medicare program to deny so that I can bill the secondary? Here is my…

Supervision of Students

I receive several questions per week regarding the supervision requirements of student physical, occupational and speech therapists, student physical therapist assistants and student occupational therapy assistants when they are treating Medicare patients as well as patients with private insurance or under workers compensation. In this article, I will give the answers to the following questions…

Breaking News on Medicare Therapy Cap

On April 14, 2015, the Senate voted on H.R. 2 to repeal and replace the flawed sustainable growth rate (SGR) formula that is used to determine payment for outpatient services under the Medicare Physician Fee Schedule (MPFS) (this includes outpatient therapy) and extend the outpatient therapy cap exception process that had expired on April 1,…