Medicare Compliance & Reimbursement - 2009 Issue 7
In other news ...• The outpatient therapy cap is $1,840 for 2009, but the claims system won't reflect that until April.
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Article Overview
This article covers a brief CMS claims-processing update affecting outpatient therapy claims and the timing of a system change tied to the annual therapy cap. It is relevant to coders, billers, and revenue cycle staff who handle outpatient therapy claims and need awareness of the CMS transmittal referenced in the notice.
Why This Topic Matters
It helps billing and coding staff understand why certain outpatient therapy claims may be rejected during the transition period and points them to the CMS-issued guidance referenced in the notice.
What You Will Learn
- The article’s subject matter and timeframe for the claims-processing update
- Which CMS communication is referenced in the notice
- That the update concerns outpatient therapy claims and system processing timing
- That a modifier is mentioned in connection with the claims process
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle personnel
- Outpatient therapy providers
Modifiers Discussed
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