tci Medicare Compliance & Reimbursement - 2004 Issue 1

Rehab: REHAB PROVIDERS CHEER FEE SCHEDULE FIX

2004 physician fee schedule speaks to PT-OT-and SLP-specific issues.  Congress stepped in to save rehab providers from the 4.5-percent reduction in Medicare reimbursement quoted in the 2004 physician Fee Schedule . Thanks to the new Medicare reform bill, rehab providers will see a 1.5-percent increase in reimbursement in both 2004 and 2005. The tricky issue of incident to billing rules, however, remains unresolved. "The problem involves therapists and physicians who set up therapy programs and don't use licensed therapists," reports attorney Donna Thiel with Morgan Lewis & Bockius in Washington. Instead, these programs often utilize nurses...

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