Part B Therapy Update

Carl J. Pucci in Finance & Reimbursement

As announced in last weeks’ NYSHFA member mailing, the Senate delayed enactment of both the “Doc Fix” as well as extension of the therapy cap exceptions.  Although AHCA remains optimistic the bill will be enacted upon the Senate’s return, they have recommended providers suspend Part B billings for claims after April 1 and that SNF operators issue Advance Beneficiary Notices (ABN’s) to beneficiaries needing Part B Therapy services beyond the $1,940 threshold (as of April 1, 2015).

Attached is further guidance from AHCA, as well as a detailed FAQ document.


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