decisionhealth Newsletters, Answer Books - 2010 Issue 4 (April)
Answer_Book / Rehabilitation_Services / Automatic therapy cap exceptions are back again
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Article Overview
This rehabilitation-services article discusses a temporary policy change affecting therapy cap exceptions and the associated billing context for eligible services during a specific date range. It is intended for coders and billers who work with therapy claims and need to understand the general compliance considerations tied to the exception policy and related therapy modifiers.
Why This Topic Matters
It helps billing and coding staff recognize a time-limited therapy policy change and avoid improper claim handling related to therapy cap exceptions.
What You Will Learn
- The general purpose of therapy cap exceptions under the policy change
- The date span covered by the temporary restoration
- The billing context for therapy claims when an exception applies
- The compliance caution associated with incorrect modifier use
Who Should Read This
- Medical coders
- Medical billers
- Rehabilitation services staff
- Therapy providers
Modifiers Discussed
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