Therapy Caps

Medicare doc payment bill doesn't 'fix' therapy caps

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The historic repeal of the "doc fix" this week left about equal numbers of stakeholders relieved and disappointed. Among the most crestfallen: Therapy providers who were hoping for Congress to finally repeal Medicare Part B outpatient therapy caps.

Providers pushing for death of therapy caps

Providers are seeking legislation to end old therapy cap rates and to see changes in manual medical review process for therapy claims.

Therapy payment bills supported during AHCA/NCAL fly-in

Therapy payment bills supported during AHCA/NCAL fly-in

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National long-term care industry advocates and numerous facility representatives made the rounds in the halls of Congress on Wednesday in support of legislation designed to permanently end nearly two decades-old therapy caps and improve short-term data collection efforts they say have caused undue administrative burdens on providers and patients.

NASL winter conference to focus on regulatory, legislative issues

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The Winter Legislative and Regulatory Conference of the National Association for the Support of Long-Term Care takes place Monday through Wednesday in Washington. In addition to Congressional visits, the gathering will feature an address by Rep. Marsha Blackburn (R-TN), the vice chairwoman of the House Energy & Commerce Committee, as well as Marc Hartstein, a director from the Centers for Medicare & Medicaid Services.

CMS should push Congress on therapy rate upgrades: AHCA

CMS should push Congress on therapy rate upgrades: AHCA

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The Centers for Medicare & Medicaid Services should openly urge Congress to change therapy reimbursement, the nation's largest long-term care provider association stated in recent written comments to CMS Administrator Marilyn Tavenner.

CMS should publicly push Congress to reform therapy payment system, long-term care provider association urges

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The Centers for Medicare & Medicaid Services should openly urge Congress to change the way therapy services are reimbursed, the nation's largest long-term care provider association stated in recent written comments to CMS Administrator Marilyn Tavenner.

Sleeper measures could cut Medicare payments to skilled care operators

Sleeper measures could cut Medicare payments to skilled care operators

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As far as skilled care is concerned, most recent reporting on a major Medicare bill has all but overlooked what's in the bill for the sector. And it's not trivial.

Observation stay bills in focus for LTC providers

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Nonprofit long-term care providers continued to focus on bills related to observation stays during visits on Capitol Hill Tuesday.

PEAK members brave D.C. storm to push long-term care agenda

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Nonprofit long-term care providers visiting Washington this week are encouraging members of Congress — some of them destined for tough re-election campaigns — to pursue key strategic goals.

Call to slash therapy caps

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The chairman of the Medicare Payment Advisory Commission has urged a House committee to set lower Medicare Part B therapy spending caps.

Make therapy caps lower, streamline review process, MedPAC chairman urges House committee

Make therapy caps lower, streamline review process, MedPAC chairman urges House committee

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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.

Providers rip huge backlog of therapy claims reviews

Providers rip huge backlog of therapy claims reviews

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A provider-sponsored survey recently uncovered huge backlogs of therapy claim reviews for beneficiaries who exceeded the Medicare Part B caps limits.

Providers take the long view on budget, doc pay formula

Providers take the long view on budget, doc pay formula

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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.

Senators advance bill to repeal Medicare outpatient therapy caps, physician payment formula

Senators advance bill to repeal Medicare outpatient therapy caps, physician payment formula

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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.

Long-term care leaders support passage of budget deal

Long-term care leaders support passage of budget deal

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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.

Provider groups respond to Congressional request with detailed recommendations on post-acute reforms

Provider groups respond to Congressional request with detailed recommendations on post-acute reforms

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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.

'Doc fix' bill calls attention to need for therapy fix, NASL leader says

'Doc fix' bill calls attention to need for therapy fix, NASL leader says

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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.

MedPAC's rate cut plan will harm care, operators: NASL

MedPAC's rate cut plan will harm care, operators: NASL

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Resident care would suffer if Congress acts on the latest recommendations from the Medicare Payment Advisory Commission, long-term care advocates say.

Provider groups protest MedPAC recommendations to reduce therapy caps

Provider groups protest MedPAC recommendations to reduce therapy caps

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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.

CMS to revise audit practices

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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.

CMS: Providers may need to reimburse beneficiaries due to inaccurate therapy denial codes

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Therapy providers should review therapy cap denials for 2013 and refund any beneficiary payments for these services, according to a Medicare newsletter released Thursday.

Long-term care providers ready to deal with 'doc fix'

Long-term care providers ready to deal with 'doc fix'

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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.

CMS explains therapy cap notification requirement, but more guidance needed, NASL leader says

CMS explains therapy cap notification requirement, but more guidance needed, NASL leader says

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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.

AHCA praises bipartisan effort to repeal SNF therapy caps

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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.

Is this the year therapy caps finally get repealed? Probably not

Is this the year therapy caps finally get repealed? Probably not

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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.

Loopholes to help you track Medicare Part B therapy billing

Loopholes to help you track Medicare Part B therapy billing

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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.

Fiscal molehill for rehab providers

Fiscal molehill for rehab providers

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Well, we didn't completely go off the "fiscal cliff," but we're definitely heading for a downward slope.

MedPAC recommends lowering outpatient therapy caps by 33%

MedPAC recommends lowering outpatient therapy caps by 33%

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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.

With new rules, more payment denials expected

With new rules, more payment denials expected

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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.

'The therapy caps are back!!!'

'The therapy caps are back!!!'

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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.

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