The chairman of the Medicare Payment Advisory Commission has urged a House committee to set lower Medicare Part B therapy spending caps.
Congress should set lower annual caps on Medicare reimbursements for outpatient therapy and streamline the manual review process for claims exceeding those caps, a Medicare policy expert told the House Energy and Commerce Committee Thursday.
A provider-sponsored survey recently uncovered huge backlogs of therapy claim reviews for beneficiaries who exceeded the Medicare Part B caps limits.
Long-term care provider associations focused on the big picture and counted blessings in response to legislative action in the last Congressional session of 2013.
The Senate Finance Committee has advanced a bill that would repeal the Medicare Part B cap on therapy reimbursements and replace it with a new outpatient therapy payment system.
Prominent long-term care provider associations registered support for a bipartisan budget deal being considered by Congress this week, despite the fact that it would extend a period of reduced Medicare reimbursements.
Major long-term care provider groups have offered detailed policy recommendations on reforms to the post-acute care delivery and payment systems, as requested by Congressional lawmakers. In addition to offering recommendations on a host of topics, the groups stressed that Congress should evaluate information coming out of current demonstration projects and models before enacting any radical changes.
Provider groups are urging lawmakers to address outpatient therapy payments in addition to fixes to Medicare's physician payment system, according to Cynthia Morton, executive vice president of the National Association for the Support of Long-Term Care.
Resident care would suffer if Congress acts on the latest recommendations from the Medicare Payment Advisory Commission, long-term care advocates say.
Resident care would suffer and providers would shoulder a larger burden if Congress acts on the latest recommendations from the Medicare Payment Advisory Commission, advocates for the long-term care sector say.
Here's the good news for providers dealing with Recovery Audit Program contractors: The federal government will make fewer additional document requests, starting this month. Now the not-so-good news: The Centers for Medicare & Medicaid Services will not slow down other components of the auditing program.
Therapy providers should review therapy cap denials for 2013 and refund any beneficiary payments for these services, according to a Medicare newsletter released Thursday.
If you hang around long enough, you learn there are only two things long-term care providers fear after Republicans and Democrats. That would be hospitals and doctors.
A recent Centers for Medicare & Medicaid memorandum provides some clarity regarding new therapy cap notification rules, but providers still need guidance on other aspects of therapy reimbursement, according to Cynthia Morton, executive vice president of the National Association for the Support of Long-Term Care.
The American Health Care Association and National Center for Assisted Living came out in support of bipartisan legislation to permanently repeal Medicare Part B therapy caps for skilled nursing facilities. The legislation was introduced in both the House of Representatives and the Senate on Feb. 15.
Earlier this week, we saw lawmakers again take aim at Medicare's outpatient therapy caps. Rightfully so. Therapy caps are a dubious idea that ought to be given a decent burial.
Every time we send our patients to the hospital for rehab-related tests, exams or services, these services are billed to Medicare Part B, and, therefore, reduce our cap allowances. Any small oversights could have major impacts on our ability to successfully track therapy cap levels. Here's some help.
Well, we didn't completely go off the "fiscal cliff," but we're definitely heading for a downward slope.
Already contentious Medicare Outpatient Part B therapy caps would likely receive even more attention if the Medicare Payment Advisory Commission has its way. MedPAC recommended Thursday that Congress drop the annual allowable limits from $1,880 to $1,270.
Here it comes again! The Oct 1, 2012, federal regulatory changes will not only impact reimbursement but new reporting requirements also will multiply denials for skilled nursing providers across the country.
Are the therapy caps back? Well, sort of. Here's a quick summary of the current regulations that were recently passed and how they affect you.
Members of a Congressional conference committee need to authorize the longest possible exceptions extension for Medicare Part B therapy services, according to a coalition of therapy advocates.
The U.S. Senate ends its recess Monday, six days after the House reconvened. That sets the stage for more intense lobbying over healthcare spending and other measures, including the Medicare Part B therapy caps exceptions process and how to fund Medicare doctors. Both were part of a two-month reprieve Congress approved shortly before Christmas. Long-term care providers and numerous other special interest groups will continue their blitz of lawmakers and their staff members in attempts to curry favor for what should be a much longer legislative solution this time. Also on tap: Watching intently Tuesday to see whether long-term care is mentioned in President Obama's State of the Union address.
Provider groups were anxiously awaiting a vote that is expected to be held Tuesday in the U.S. House of Representatives. The balloting could determine the short-term fate of Medicare spending for the "doc fix" and an extension to the therapy caps exception process.
Advocates for skilled nursing operators started a counteroffensive Monday in Washington to fight bad-debt provisions of a new House GOP spending bill. Introduced Friday, the bill asks skilled nursing operators to absorb more than $4.5 billion of $10 billion in bad debt losses.
House Republicans introduced legislation Friday that would extend the outpatient therapy caps exception process. Without Congressional action, the caps would go back into full effect Jan. 1. The proposed legislation also would postpone huge Medicare doctor pay cuts by two years through a package that would scuttle parts of the healthcare reform law.
Congress should extend the therapy caps exception process for medically necessary Medicare Part B outpatient therapy services, several long-term care groups said Tuesday.
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.
Given recent flaps about hospice care in nursing homes, one has to wonder if long-term care providers are always going to be subjected to the "one step forward, one step back" syndrome.
Lawmakers have been earning their keep lately. Given all the legislation that has passed, I could not resist writing this little holiday poem.