APTA has learned that a letter issued by the Centers for Medicare and Medicaid Services (CMS) about the therapy cap has caused some beneficiaries to panic and cancel appointments.
CMS recently began issuing letters to Medicare beneficiaries who have received $1,700 or more in outpatient therapy services in calendar 2012. The letter informs beneficiaries that if services are furnished above the therapy cap of $1,880 in 2012, and the requirements for an exception are not met, then the beneficiary would be financially responsibility for these services.
To help ease beneficiaries' concerns, APTA has developed a frequently-asked-questions (FAQs) document that physical therapists can download and distribute to patients. Additionally, the document can be accessed by patients directly from APTA's Move Forward consumer website.
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