tci Outpatient Facility Coding Alert - 2012 Issue 1

Reimbursement: Keep a Check on Therapy Caps, or Risk Repeated Reviews

Get advanced approval if patient nears $3,700, or wait up to 60 days for CMS payment. If your ASC provides therapy services, get ready for closer scrutiny. All therapy payments are subject to CMS manual medical review after the patient reaches $3,700 in exceptions, effective Oct. 1, 2012. Know When KX Still Applies -- and When It Doesn't The first level to therapy cap exceptions remains the same, even after Oct. 1. When the patient reaches the $1,880 therapy cap, bill your services with modifier KX (Requirements specified in the medical policy have been met). Verify...

To read the full article, sign in and subscribe to tci Outpatient Facility Coding Alert.


TCI's Outpatient Facility Coding Alert helps your facility stay profitable by covering issues that are important to you — everything from billing strategies and appropriate payment indicators to coding tips and tricks, analysis of industry trends, and so much more. Subscribe today and let our experts make your job easier.

  • Current newsletters added each month
  • Fully searchable archives - over 650 articles
  • ALL years/issues back to 2012 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.