Non-Physician Practitioner Report: Bills offered in Congress would eliminate therapy caps forever

Article Overview

This report explains proposed Congressional action aimed at changing Medicare’s therapy cap policy and places it in the context of existing Medicare coverage rules for outpatient rehabilitation services. It is relevant to non-physician practitioners, therapists, coders, compliance staff, and administrators who track Medicare payment policy, therapy billing, and utilization trends. The article also discusses a therapy-related modifier, a billed procedure code, and general reporting on claim denials and CMS data.