CMS has updated the “Rehabilitation Therapy Information” Fact Sheet and it is now available for downloading at the CMS website. The 4 page flyer inlcudes highlights over therapy changes over the past year including the therapy cap, DME Instructions, SLP in Private Practice, and Therapy Personnel Requirements. There are also links to rehab related Medicare [...]
CMS has announced the therapy cap for 2010 is $1860, representing a $20 increase over the 2009 therapy cap. Transmittal R1851 to the Medicare Claims Processing Manual, dated 11/13/2009 and the accompanying MLN Article MM6660 provide information on the implementation. The Balanced Budget Act of 1997 (BBA) established a $1500 therapy cap for physical therapy (including speech-language [...]
Florida therapy providers are beginning to report the receipt of official “demand letters” from Connolly Healthcare, the Region C Recovery Audit Contractor. A Florida therapy provider, who asked not to be identified, has reported receiving several demand letters related to the billing of speech therapy untimed codes in units greater than one. This provider has multiple [...]
The Region C RAC (Connolly) has posted approved issues for two new states, including the addition of untimed codes for Alabama & Georgia. Connolly originally posted the CMS approved issue of untimed codes for automated reviews for South Carolina, and shortly after added the issue for Florida.
Now that we know that it is for real, there is no more speculating, it has been published. How can rehab providers in Region C and Region D get themselves ahead of the RAC automated review process on untimed codes? We first predicted that untimed codes would likely be one of the first rehab issues [...]
The Region B RAC Contractor revealed their website capabilities while posting 3 CMS approved issues for automated review in Region B states of Indiana, Michgan and Minnesota. This time the previously CMS approved issue of “Untimed Code” for rehab is not among them. Visit the site for CGI to see how it is formatted. Notice that on [...]