General Discussion - Important Therapy Updates from CMS

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Important Therapy Updates from CMS

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Forum Name: General Discussion
Forum Description: General discussion for physical therapists, physical therapist assistants and other health care professionals.
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Topic: Important Therapy Updates from CMS

Posted By: Previous CPT Forum
Subject: Important Therapy Updates from CMS
Date Posted: Jul 08 2008 at 12:53am

PT Guy

22 Posts

Posted - 11/05/2007 : 11:26:17 Show Profile Reply with Quote
CMS has just published a new guidance in anticipation of a November 27th Transmittal with some policy changes for Medicare effective January 1st, 2007.

LINK: http://www.cms.hhs.gov/PhysicianFeeSched/downloads/CMS-1385-FC.pdf - http://www.cms.hhs.gov/PhysicianFeeSched/downloads/CMS-1385-FC.pdf

Pages 607-640 are pertinent to therapy.

Important Therapy updates include:

Changes in the outpatient recertification requirement from once every 30 days to once every 90 days in all settings, including CORF's. This becomes effective January 1, 2008.

Pages: 637-638

By mid- year 2008 CMS has stated that they will provide manual clarification regarding the implementation of applicable outpatient policies to the inpatient hospital setting. as well as implementation of new qualification standards of who can provide and be reimbursed for skilled therapy services from the outpatient setting to all settings. (This rule will have a 2 year delay in implementation.) page 631

Additional Consideration of student supervision comparable to SNF "line of sight" is being considered. Page 636