Rehab Regulations

NARA Spring Conference 2016 May 4 - 6, 2016 Renaissance Washington DC Hotel - Dupont Circle Major changes are in store for the health care sector which will have a profound effect on providers and their patients. The elections in November will bring a new President, determine which party will control the House and Senate, and usher in new leadership for regulatory agencies such as HHS and CMS. Federal agencies will take significant steps to implement new payment methodologies to replace the physician... Read More

The National Association of Rehab Providers & Agencies will conduct its Spring Conference May  4 - 6, 2016 at the Renaissance Dupont Circle hotel in Washington DC.  The program will kick off Wednesday, May 4th with an introduction and big picture overview as to what is currently happening from a regulatory, policy, and legislative perspective.  Over the course of the 2 1/2 day conference, attendees will be educated and updated by key industry speakers on the hot topics making up the big picture... Read More

On April 14th, by a vote of 92-8, the Senate passed H.R. 2, the Medicare Access and CHIP Reauthorization Act, which had passed the House over two weeks ago by a wide margin. Eight Republicans voted against the bill: Senators Cruz, Lee, Perdue, Rubio, Sasse, Scott, Sessions, and Shelby. Six amendments were offered to the bill and all were defeated, including Sen. Cardin’s amendment to repeal the outpatient therapy caps. The bill will now be sent to the President who has already stated that he will... Read More

June 18, 2013 -  CMS has provided the following update based on the June 4th Open Door Forum statement that "on July 1st funcational reporting will start which requests doing initial evals, goals & status.  The July 1st treatment has to be treated as the initial eval, even if [provider] have been treating the patient.  [CMS] realizes it is 'a little bit of a burden' but feel it is necessary."   CMS had previously indicated that therapists must report functional information on the first... Read More

Click here for the recently posted HIPAA Modifications.

CMS Announces Educational Call for Providers on Functional Testing Requirement  

December 12, 2012 1:30 - 3:00pm EST

The transcript and audio file for the October 22, 2012 Manual Medical Review of Therapy Claims Special Open Door Forum is available on the Special Open Door Forum web page: http://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/ODFSpecialODF.html . Thank you for your continued interest in the CMS Open Door Forums. http://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/ODFSpecialODF.html Read More

CMS Special Open Door Forum Summary Manual Medical Review Process for Part B Therapy Claims Effective October 1, 2012  

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

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