Mandatory Medicare Payment Reductions

From the Centers for Medicare and Medicaid Services: The Budget Control Act of 2011 requires, among other things, mandatory across-the-board reductions in Federal spending, also known as sequestration. The American Taxpayer Relief Act of 2012 postponed sequestration for 2 months. As required by law, President Obama issued a sequestration order on March 1, 2013. The…

Novitas Solutions Outpatient Therapy Teleconference

Novitas Solutions, Medicare Administrative Contractor for the states of Arkansas, Colorado, Delaware, Louisiana, Maryland, Mississippi, New Jersey, New Mexico, Oklahoma, Pennsylvania, Texas, and Washington DC, held a teleconference on Physical and Occupational therapy billing for private practices on January 28, 2013 and for non-private practices on January 31, 2013. Novitas Solutions has published the handout…

Skilled Maintenance Services Covered by Medicare

From The Center for Medicare Advocacy, Inc. The Center for Medicare Advocacy, along with its co-counsel Vermont Legal Aid are pleased that the Settlement in the Medicare Improvement Standard case, Jimmo v. Sebelius,was approved on January 24, 2013 during a scheduled fairness hearing, marking a critical step forward for thousands of beneficiaries nationwide. The proposed…

UnitedHealthcare Medicare Solutions

Effective Jan. 1, 2011, the Centers for Medicare and Medicaid Services (CMS) initiated a new multiple procedure payment reduction policy to reduce the practice expense portion of certain physical, occupational and speech/language therapy procedures by 20 percent in the priavte practice setting, when these procedures are the secondary and/or subsequent procedures reported on a single…