Senate Passes Permanent SGR Fix; Therapy Caps Exceptions Process Extended Two Years [5-21-15]

Filed under: Industry Updates — Editor @ 1:50 pm

200px-US_senate_sealOn 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 three weeks ago by a wide margin. The bill will now be sent to the President who has already stated that he will sign it into law.  Repeal of the SGR methodology has been a long time coming. It was put into law in the Balanced Budget Act of 1997 and since that time, Congress has had to pass legislation 17 times to prevent the fee schedule reductions from taking effect and to preclude the therapy caps from having full force and effect.  (more…)

Face to Face Is Changing for the Better [07-16-14]

Filed under: Industry Updates — Editor @ 1:28 pm

cmsannouncementOn July 1, 2014, the Centers for Medicare and Medicaid Services (“CMS”) published the home health prospective payment rule (the “Proposed Regulations”) for calendar year 2015. Importantly, the Proposed Regulations contain the biggest change to the “face-to-face” requirement to date. This article will explain proposed changes to this requirement. (more…)

Update on Status of Doc Fix and Therapy Caps [4-1-14]

Filed under: Industry Updates — Editor @ 11:07 am

legislation_1Last week, the House passed a Doc Fix (SGR) Bill by voice vote on Thursday, March 27th. The bill, Protecting Access to Medicare Act of 2014, would prevent the 24% cut to the Physician Fee Schedule and replace it with a 0.5% conversion factor through December 31, 2014 and a 0.0% update from January 1, 2015 through March 31, 2015.  Yesterday, the Senate passed the legislation and the President is expected to sign.  What this means: (more…)

Contact Your Members of Congress Now [3-20-14]

Filed under: Industry Updates — Editor @ 3:41 pm

contact-congressFee Schedule Cuts and Expiration of Therapy Caps Exceptions
Process Looming on March 31, 2014

Under current law, Medicare payments under the physician fee schedule will be drastically reduced on April 1st and the exceptions process for the outpatient therapy caps will terminate at midnight on March 31st. It is beyond quibble that patients and providers alike will be seriously harmed by these events. It is absolutely critical, therefore, that Congress passes legislation before March 31st to prevent the fee reduction and reauthorize the exceptions process. Marden employees owe it to their patients and to themselves to contact their Members of Congress and encourage them to support immediate action to prevent the cuts and extend the exceptions process. (more…)

CMS Issues Transmittal to Clarify Use of Assistants in SNF Related to Jimmo vs Sebelius [01-22-14]

Filed under: Industry Updates — Editor @ 3:14 pm

cmslog4colOn Thursday, January 16th during the SNF Open Door Forum call, CMS clarified the proper usage of assistants for providing therapy to SNF patients for maintenance related situations based on the Jimmo vs Sebelius case outcome. Skilled nursing facilities may be reimbursed for maintenance therapy services performed by assistants, the Centers for Medicare & Medicaid Services clarified in a recent Medicare Benefit Policy manual revision. Click  here to access the transmittal.

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