Rehab

Cap vote to take place February 1

Rehab Regs, January 20, 2006

Final congressional action on the Deficit Reduction Act of 2005 (S. 1932) is scheduled for February 1, according to the American Occupational Therapy Association (AOTA) Web site. The bill includes a one-year change to the cap on Medicare Part B outpatient occupational therapy services.

AOTA encourages therapists to contact their member of the House of Representatives and urge him or her to pass legislation fixing the therapy caps when they return for the second session of the 109th Congress.

In terms of the outpatient therapy cap, the budget bill would make the following changes for 2006: Clients who reach the cap (approximately $1,740) will be able to apply for additional services

  • Medicare must determine if the additional therapy applied for is medically necessary and then approve or deny the services
  • CMS must provide an answer within 10 days, or the additional therapy is considered approved
  • Medicare must implement improvements in the use of CPT codes to assure that only appropriate therapy is provided
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