MDS Alert

Published on Thu Jan 29, 2015 PDF

Plus: Enjoy more time to respond to prepayment review ADRs.

On Nov. 14, the Centers for Medicare & Medicaid Services (CMS) announced the new therapy cap values for calendar year (CY) 2015, which were effective on Jan. 1. Under Medicare Part B, therapy caps for CY 2015 are $1,940.

This means that the allowed dollar amount for CY 2015 outpatient therapy is limited to $1,940 for physical therapy and speech-language pathology combined, and $1,940 for occupational therapy. Section 103 of the Protecting Access to Medicare Act of 2014 extended the exceptions process to the therapy caps for reasonable and medically necessary services through March 31, 2015.

To read the CMS transmittal announcing the CY 2015 therapy caps, go to www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R3120CP.pdf.