decisionhealth Newsletters, Part B News - 2010 Issue 12 (December)
NPP Report: 2011 outlook for therapy services improves slightly
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Article Overview
This article covers late congressional and CMS updates to the 2011 Medicare Physician Fee Schedule that affect therapy reimbursement. It explains the general impact of changes to the multiple procedure payment reduction for therapy services, notes the return of the therapy cap exception process, and identifies the types of therapy claims and billing situations that are affected. It is useful for therapy providers, billing staff, and coding professionals who need to understand the scope of the 2011 policy updates.
Why This Topic Matters
The article matters because it highlights payment policy changes that can affect reimbursement for multiple therapy services and therapy cap-related billing in 2011. Practices that bill physical, occupational, or speech-language pathology therapy need this type of update to stay aware of Medicare policy changes.
Article Sections
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2011 Medicare Physician Fee Schedule updates
This section summarizes the policy changes discussed in the article and places them in the context of 2011 Medicare payment updates. It focuses on therapy-related reimbursement changes and the broader legislative and CMS actions behind them.
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Multiple procedure payment reduction for therapy services
This section discusses the therapy services affected by the payment reduction update and the general way multiple services on the same day are handled. It also references the types of therapy settings and provider arrangements mentioned in the article.
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Therapy cap exception process
This section covers the return of the therapy cap exception process for 2011 and the related claim-billing topic noted in the article. It also mentions the annual therapy cap update discussed by the source.
What You Will Learn
- What 2011 Medicare therapy payment policy changes are discussed
- How the article frames updates to therapy reimbursement policy
- What general claim scenarios are affected by the therapy payment changes
- What the article says about the therapy cap exception process for 2011
- Which broad therapy service categories are addressed
Who Should Read This
- Medical coders
- Billing staff
- Therapy clinic administrators
- Revenue cycle professionals
- Compliance staff
Codes Discussed
Modifiers Discussed
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