Current News

News

11/01/12

Final Rule Released for Therapy Services Reimbursed Under the Medicare Physician Fee Schedule

Today, the Centers for Medicare and Medicaid Services (CMS) issued the final rule for services reimbursed under the Medicare Physician Fee Schedule that includes outpatient therapy services. For therapy services, begin reading on page 68958 and continue through page 68978 of the pdf document. The therapy cap dollar amount will be…

Read More
10/29/12

MAC Contract Awards Protest Updates

Protests have been filed against the Jurisdiction E A/B MAC contract, Jurisdiction 6 A/B MAC contract, and Jurisdiction L A/B MAC contract. The protests impact the states of California, Delaware, Hawaii, Illinois, Maryland, Minnesota, Nevada, New Jersey, Pennsylvania, Wisconsin, as well as the District of Columbia.

Read More
10/29/12

Documenting Medical Necessity for Hip & Knee Joint Replacements

The Centers for Medicare & Medicaid Services has published a MedLearn Matters article as an educational guide to improve compliance with documentation requirements for major joint replacement surgery (i.e. knee and hip). To read the article and how physical therapy plays a role in the decision the Medicare contractor will make when deciding to pay or not pay for the procedure, click…

Read More
10/29/12

Novitas Solutions In & TrailBlazer Health Out

Novitas Solutions transitioned as the Part A MAC for non-private practice settings in the states of Colorado, New Mexico, Oklahoma, and Texas on October 29, 2012. Transition news can be found

Read More
10/14/12

OIG Releases 2013 Work Plan

The Office of the Inspector General (OIG) has released their 2013 work plan. To no ones surprise, rehab is on their radar. For IRF, the OIG will look at appropriateness of admission and level of therapy. The OIG work plan will also focus on independent physical therapists in private practice and high utilization of outpatient PT services. To read the work plan, click…

Read More
10/09/12

CMS Awards Contracts

The Centers for Medicare and Medicaid Services (CMS) has awarded contracts for Jurisdictions that will impact that states of California, Hawaii, Illinois, Minnesota, Nevada, and Wisconsin.

Read More
10/06/12

Hospitals To Be Fined For Readmissions

As of October 1, 2012, Medicare will start fining hospitals that have too many patients readmitted within 30 days of discharge due to complications. The penalties are part of a broader push under President Barack Obama’s health care law to improve quality while also trying to save taxpayers money. To read the full story from USA Today, click…

Read More
10/06/12

MedPAC Recommends Changes to Outpatient Therapy

The Medicare Payment Advisory Commission today discussed draft recommendations for reforming the Medicare benefit for outpatient physical and occupational therapy and speech-language pathology to control spending while improving care and access to services. Proposals include…

Read More