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…

OIG Releases 2013 Work Plan

The Office of the Inspector General (OIG) released their fiscal year (FY) 2013 work plan that summarizes new and ongoing reviews and activities that OIG plans to pursue with respect to Health and Human Services programs and operations during the next FY and beyond. Pages of interest to the therapy profession would include pages 8,…

MPPR Calculator

The multiple procedure payment reduction (MPPR) policy is scheduled to increase to 50% on April 1, 2013. APTA estimates the application of a 50% MPPR policy will reduce payments by approximately 6-7% in aggregate for outpatient therapy services. This reduction will be partially offset by a 4% increase in practice expense that resulted from the…