Confirms Extension of Therapy Cap Exceptions Process
Medicare Administrative Contractors (MACs) have been instructed to implement the new payment rates in legislation passed just last night by the U.S. Senate, already passed by the U.S. House of Representatives two weeks ago, according to an email delivered today by CMS. While a small number of claims may have already been processed at the reduced rate (a 21% cut), MACs will automatically reprocess such claims with the new payment rate, with no action necessary by providers.
In the notice, CMS also confirmed the extension of other provisions, including the following:
- Extended exceptions to the therapy cap,
- Add-on payments for ambulance services,
- payments for low-volume hospitals, and
- payments for Medicare dependent hospitals.