tci Medicare Compliance & Reimbursement - 2003 Issue 15

Reimbursement: CMS SHOOTS DOWN PRRB REVERSAL OF PTs' SALARY ADJUSTMENTS

Despite numerous Provider Reimbursement Review Board and federal court decisions decreeing that directly employed physical therapists' salaries aren't subject to salary restrictions for contracted therapists, the Centers for Medicare & Medicaid Services is still in denial. In its most recent case, CMS Administrator Tom Scully says regional home health intermediary Cahaba GBA was justified in adjusting 1997 wages paid to PT employees of Langhorne, PA-based SNI Home Care Inc. using the salary equivalency guidelines for contracted therapists. SNI paid the therapists per visit rather than straight salaries. The PRRB had ruled in favor of SNI, determining that since the...

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