Part B Insider (Multispecialty) Coding Alert

Physician Note:

Therapy Cap Approvals Must Use Latest Form, MACs Remind

Plus: CMS puts physician's enrollment responsibility in writing.

If you're submitting pre-approval requests for therapy cap exceptions, you don't want to waste time using last-year's form, Part B Mac NHIC, Corp. reminded practices in an Oct. 30 message. "Version 6.0 offers the ability to check off more than one discipline for physical therapy, speech language therapy, or occupational therapy for your pre-approval requests," the note said.

Practitioners who aren't submitting pre-approvals will get a request from their MAC asking for additional documentation, NHIC noted.

"As of October 17, 2012, providers identified in Phase II may now submit pre-approval requests for dates of service on or after Nov. 1, 2012 for beneficiaries over the $3,700 threshold," NHIC adds. "Please note that Phase I providers should continue to submit pre-approval requests."

For more information, visit www.medicarenhic.com.

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