Therapy Caps Exception Extended

Carl J. Pucci in Finance & Reimbursement

Congress has once again extended the Medicare outpatient therapy caps exception process to April 1, 2015.

Adapted as part of the "One-Year Doc Fix" by Congress, exceptions to the therapy caps are allowed for reasonable and necessary therapy services above the current annual thresholds.  ($1,920 each for both PT/Speech, as well as OT.)

Please see attached AHCA bulletin (page 3) with further details.

  NYSHFA CONTACT: Carl J. Pucci
Director, Finance & Reimbursement
518-462-4800 x36