Therapy Caps Exceptions Process
A measure to terminate Medicare therapy caps will soon be introduced in Congress, a top association official said during a McKnight's Super Tuesday webcast yesterday.
Medicare's RUG-IV system that began in October will remain in place, thanks to a $19.2 billion package passed today in the House of Representatives. The legislation also extends Medicare's therapy caps exception process until the end of 2011. The 409-2 vote comes one day after unanimous passage in the Senate. President Obama is expected to sign the measure into law once it reaches his desk.
Following the Senate's lead, the U.S. House Wednesday voted to extend current Medicare reimbursement rates for physicians through the end of the year. Other items, including legislation affecting the long-term care community, are on Congress's to-do list during this lame-duck session.
Several healthcare groups, including the American Health Care Association, last week urged congressional leaders to address "harmful Medicare policies" set to take effect Jan. 1, 2011.
Medicare physicians are once again facing a 21.2% pay cut when a provision to delay the reduction expires at midnight Thursday. But the government has ordered that claims submitted on or after April 1 be held for an additional 10 days until Congress can return from recess, according to a news outlet.
OK, so I promised I'd tell you more about what is in the healthcare reform law that affects you, long-term care providers. So here goes ...
The RUG-IV classification system will not start until Oct. 1, 2011, under the new healthcare reform bill.
After narrowly passing a healthcare stopgap bill that included a therapy caps extension package, Democrats in Congress are finding it difficult to bring their major reform proposal across the finish line, according to recent reports.
A coalition of 32 healthcare-related organizations, including the two major nursing home organizations, is imploring lawmakers to immediately reinstate the exceptions process for Medicare Part B outpatient therapy caps.