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Thread: Physical Therapy

  1. #1

    Default Physical Therapy

    AAPC: Back to School
    Hi all I was wondering does anyone know the medicare cap for p.t. does that apply as well to a supervising physician billing the charges vs a physical therapist???

  2. #2
    Join Date
    Apr 2007
    Phoenix, AZ


    The cap is $1840 for PT and speech. There is a separate cap ($1840) for OT. No, the supervising physician is not included in the cap. The outpatient cap is only for rehab therapies. Please make sure the patient is not receiving home health PT/OT/ST.

    Here is the link to the Part B News update: https://www.noridianmedicare.com/sha...ns_in_2009.htm

    Good luck,
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  3. #3

    Default Physical therapy caps

    cyndi in regards to your response if i may clarify....the supervising physician does not follow the cap??? i went to the link provided and it says that physicians and providers are affected by cap?????

  4. #4
    Join Date
    Apr 2007
    Phoenix, AZ


    The physician is only affected by the therapy cap, if he/she is providing outpatient rehab services. Its rare that a physician will actually provide the PT/OT/ST services.

    You can call me if you would like and we can talk about your question. I think we're talking cross purposes. My direct number is (602) 682-6721.
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

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