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  • Open Door Forum Tomorrow on Manual Medical Review of Therapy Claims

    Tomorrow the Centers for Medicare and Medicaid Services (CMS) will hold a special open door forum, ­­3:00 pm-4:00 pm ET (conference call only), on the manual medical review of therapy claims. Physical therapists are encouraged to participate in the call, which will provide an opportunity to ask questions about the mandated manual medical review of therapy services October 1-December 31, 2012, which was enacted by the Middle Class Tax Relief and Job Creation Act of 2012. 

    CMS will discuss therapy documentation requirements. The therapy cap applies to all Part B outpatient therapy settings and providers including:

    • private practices,
    • Part B skilled nursing facilities,
    • home health agencies (TOB 34X),
    • rehabilitation agencies (outpatient rehabilitation facilities), and
    • comprehensive outpatient rehabilitation facilities.

    Beginning this year, the therapy cap also will apply to therapy services furnished in hospital outpatient departments October 1-December 31, 2012. Before 2012, therapy provided in hospital outpatient departments did not count toward the therapy cap.

    Participants may submit questions prior to the special forum to therapycapreview@cms.hhs.gov.

    To participate, call 866/501-5502 and enter conference ID 34261274. (TTY Communications Relay Services are available for people with hearing impairments. For TTY services dial 7-1-1 or 800/855-2880. A relay communications assistant will help.)

    A downloadable transcript and audio recording of the forum will be posted to CMS' website.

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