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CMS Special Open Door Forum Summary - September 5, 2012
September 8, 2012
Categories: News
CMS Special Open Door Forum Summary Manual Medical Review Process for Part B Therapy Claims Effective October 1, 2012
On September 5, 2012, CMS conducted a special open door forum regarding the Manual Medical Review Process for Part B Therapy Claims which is effective on October 1, 2012. There was not a lot new information provided to listeners; however, they did review a PowerPoint presentation which is used by contracts... Read More -
MAC CGS Medicare has Posted Their Pre-Approval Process for the Manual Medical Review
September 8, 2012
Categories: News
Effective October 1, 2012, CMS will implement a phased Therapy Cap Exception (TCE) process. The implementation schedule is provided below. During this period, the 2012 therapy cap amounts will be $1880 for occupational therapy services and $1880 for the combined services for physical therapy and speech-language pathology. All requests for therapy services above $3,700 which are provided by a speech language therapist, physical therapist, or physician shall be approved or disapproved in advance. Settings... Read More
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CMS Special Open Door Forum: Manual Medical Review of Therapy Claims 9/5/12
September 4, 2012
Categories: News
Centers for Medicare & Medicaid Services Special Open Door Forum: Manual Medical Review of Therapy Claims Wednesday, September 5, 2012 2:00pm – 3:30pm Eastern Time Conference Call Only
The purpose of this Special Open Door Forum (ODF) is to provide an opportunity for providers to ask questions about the mandated manual medical review of therapy services from October 1-December 31, 2012 that was enacted... Read More