New bill would lengthen therapy cap exceptions process
Nursing home providers are praising a new bill that would extend by one year the exceptions process for Medicare Part B therapy caps.Reps. Roy Blunt (R-MO), Phil English (R-PA), Ben Cardin (D-MD) and Frank Pallone (D-NJ) introduced the legislation last week. Bruce Yarwood, president and CEO of the American Health Care Association, praised the congressmen "for taking action to help fix a situation that makes no practical sense when applied to specific cases."
The clinically based exceptions process went into effect this year following the enactment of the therapy caps on Jan. 1. The caps limit Part B physical and speech-language therapy to $1,740 per year per beneficiary, and $1,740 for occupational therapy. The process exempts certain conditions such as hip replacements from the caps.