Industry News:
New Year, New Therapy Cap Amount
Published on Fri Jan 17, 2020
The threshold formerly known as the outpatient therapy cap has increased for this year. Reminder: The Bipartisan Budget Act of 2018 replaced the therapy cap with a threshold above which claims must include the KX modifier (see Eli’s HCW, Vol. XXVII, No. 10). The modifier indicates that services are medically necessary as justified by appropriate documentation in the medical record. [...]