decisionhealth Newsletters, Part B News - 2013 Issue 1 (January)
Fiscal cliff bill extends therapy cap changes, medical review through 2013
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Article Overview
This article covers 2013 Medicare therapy cap changes extended under the American Taxpayer Relief Act of 2012 and discusses how the policy affects outpatient therapy claims, including services furnished in critical access hospitals. It is aimed at coders, billers, compliance staff, and therapy providers who need to understand the general scope of the updated review and tracking requirements.
Why This Topic Matters
Therapy claims can be affected by annual spending thresholds and review processes, so staying current on the policy extension helps providers reduce denials and maintain compliant billing workflows.
What You Will Learn
- How the 2013 therapy cap policy extension affects outpatient therapy claims
- What general claim-review processes are tied to therapy spending thresholds
- Why providers may need internal tracking and payer verification processes
- Which organizations and coverage settings are discussed in the update
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Therapy providers
- Practice managers
Modifiers Discussed
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