decisionhealth Newsletters, Coder Pink Sheets - 2013 Issue 3 (March)
Getting paid: Tighten your belt for deeper MPPR cuts to therapy pay starting April 1
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Article Overview
This article covers Medicare’s revised multiple procedure payment reduction policy for therapy services, along with related therapy payment and reporting changes that take effect in 2013. It is relevant to therapy providers, coders, billing staff, and practice managers who need to track CMS guidance and understand how the policy update fits with other Medicare therapy edits and deadlines.
Why This Topic Matters
The policy update affects reimbursement for therapy services and may influence workflow, billing compliance, and participation decisions for practices that treat Medicare beneficiaries.
Article Sections
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Therapy MPPR policy update
Overview of the Medicare payment reduction change for therapy services and the timing of the new policy. Covers the CMS guidance cited in the article and the settings affected.
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Provider concerns and practice impact
Discussion of how the policy change may affect therapy practices, patient care patterns, and participation in Medicare. Includes practitioner reaction and operational concerns.
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Other 2013 therapy policy changes
Summary of additional Medicare therapy-related updates referenced in the article, including reporting and cap policy timing. Places the MPPR change in the broader context of other CMS requirements.
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MPPR applicability and payment example
General explanation of how the payment reduction is applied across therapy services and settings, followed by a sample payment illustration from CMS.
What You Will Learn
- How Medicare’s therapy payment reduction policy changed in 2013
- What other therapy-related Medicare updates were scheduled for the same year
- Which types of providers and settings are affected by the CMS guidance
- How CMS presented a sample payment calculation for the revised policy
Who Should Read This
- Therapy providers
- Medical coders
- Billing staff
- Practice managers
- Revenue cycle professionals
- Compliance teams
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