Update as of September 8, 2022 at 12:00pm ET BCBS of MI has placed the MPPR implementation on hold. This information was not placed in the August or September 2022 editions of the “The Record”, but has been confirmed by multiple sources. I will provide updated information and resources when available. BCBS of Michigan has announced they will align with the Centers for Medicare and Medicaid Services and implement the multiple procedure payment reduction (MPPR) policy for outpatient physical, occupational and speech therapy services. This MPPR reduction will impact BCBS commercial members. The effective date of the MPPR implementation is

On January 1, 2011, the Centers for Medicare and Medicaid Services implemented the multiple procedure payment reduction (MPPR) policy to outpatient physical, occupational and speech therapy services as well as other ancillary services. The purpose of MPPR is to reduce Medicare’s cost for these services. Even though MPPR has been around for 10 years, many therapists, office managers, billers, billing companies, practice owners, and financial analysts do not understand MPPR as it applies to outpatient therapy services. In this article, I will answer the following questions: What outpatient therapy settings does the MPPR policy apply to? Does the MPPR policy

Palmetto GBA has announced that some skilled nursing facility (SNF) type of bills (TOB) 22X and 23X and Critical Access Hospital (CAH) TOB 85x with dates of service January 1 through April 11, 2021, processed prior to April 12, 2021, did not have the Multiple Procedure Payment Reduction (MPPR) applied on them. The system was updated on April 12, 2021, when the fix was installed. These TOBs with Revenue Code 042X, 043X or 044X present with more than 1 units or Revenue Code 042X, 043X or 044X present on more than one line with the same line item date of service, are