Doc-Fix/Therapy Cap Exceptions Approval Delayed

Esq. Stephen B. Hanse and Carl J. Pucci in Finance & Reimbursement

The SGR (Sustainable Growth Rate) or “Doc-Fix” bill passage by the Senate was delayed until the Senate returns from recess on April 13, 2015.  As a result, Medicare claims processing under the physician fee schedule may be held, as well as implementation of the therapy caps (effective 4/1/15).  AHCA recommends that providers delay billing of Part B claims with dates of service after April 1 until further guidance is provided by CMS.

Please see attached AHCA bulletin for further details.


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

Stephen B. Hanse, Esq.
Vice President & Counsel, Governmental Affairs
518-462-4800 x25