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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This brief news item covers a Medicare payment and therapy-cap update tied to the Temporary Payroll Tax Cut Continuation Act of 2011, along with a mention of compliance planning guidance from the OIG. It is relevant for outpatient therapy providers, billing staff, compliance professionals, and others tracking CMS updates and federal compliance activity. The article provides a high-level overview of the timing changes, the continued use of a therapy-related modifier, and the availability of OIG compliance training materials.

Why This Topic Matters

Readers following Medicare billing and compliance policy need to know about temporary timing changes affecting therapy cap exceptions and the availability of related government compliance resources.

What You Will Learn

  • How a federal law affected the timing of Medicare therapy cap exception processes
  • What CMS communicated about the continued submission of claims during the updated period
  • What compliance-related guidance the OIG highlighted for high-risk providers
  • Where to find a general compliance training resource mentioned in the update

Who Should Read This

  • Outpatient therapy providers
  • Medical coders
  • Billing and reimbursement staff
  • Compliance officers
  • Practice administrators

Modifiers Discussed


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