decisionhealth Newsletters, Part B News - 2009 Issue 3 (March)
New ABN can show patients if they're under therapy cap
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Article Overview
This article covers CMS instructions for notifying patients about possible financial responsibility when therapy services may exceed Medicare coverage limits. It also notes the updated 2009 therapy cap level, references the revised beneficiary notice forms, and mentions an outpatient rehabilitation HCPCS code change and the timing of the transmittal’s effectiveness and implementation. The content is relevant to billing, therapy practices, and coding staff who work with Medicare claims and beneficiary notices.
Why This Topic Matters
Providers and coders need to know which patient-notice forms CMS allows, how therapy cap changes affect coverage communication, and which coding updates accompany the transmittal. The article helps practices stay aligned with Medicare administrative changes and avoid avoidable claim or audit issues.
What You Will Learn
- How CMS guidance affects beneficiary notices for therapy services
- What general Medicare therapy cap updates were included in the transmittal
- Which outpatient rehabilitation coding change was noted
- How the article frames the timing of the CMS transmittal and its implementation
Who Should Read This
- Medical coders
- Billing staff
- Therapists and therapy clinic staff
- Revenue cycle professionals
- Compliance staff
Codes Discussed
Modifiers Discussed
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