2012 outpatient therapy caps, prior authorization of threshold exceptions, and manual medical reviews

摘要

Q: I am a physical therapist who provides services, such as electrical stimulation, to patients with chronic wounds in the hospital-based, outpatient rehabilitation department. I thought I understood that therapy services provided to Medicare patients in our outpatient department were exempt from the outpatient therapy caps, even though Medicare has a therapy cap on services provided in private therapy practices. Has something changed about our outpatient department's therapy cap exemption?