CMS Releases Final Rule for 2014

Filed under: Industry Updates — Editor @ 2:12 pm

cmsannouncementNoteworthy items in the final rule for Marden Employees:

Physician Fee Schedule

* Reduction of 20.1% will be effective January 1, 2014 unless Congressional action is taken

New Speech Codes & MPPR

* New CPTs for speech (92521: evaluation of speech fluency; 92522: evaluation speech sound production; 92523: speech sound language comprehension; 92524: behavioral and qualitative analysis of voice and resonance) will be subject to the multiple procedure payment reduction (MPPR) on therapy services on an interim final basis while public comments are being received. These codes replace CPT code 92506 (speech/hearing evaluation) beginning January 1, 2014.

Therapy Caps/Manual Medical Review

* Physical and Speech therapy combined cap will increase from $1900 to $1920;
* Occupational therapy cap will increase from $1900 to $1920;
* Therapy cap exceptions and manual medical review (MMR) processes are set to expire on December 31, 2013 and require congressional action to be extended

Critical Access Hospitals (CAH) & Outpatient Therapy

* CMS is finalizing their proposal to apply the therapy caps and related policies to outpatient therapy services furnished by a CAH beginning on January 1, 2014 in order to properly apply the law that established the therapy caps (Balanced Budget Act of 1997).

Hospital Outpatient Therapy

* As of December 31, 2013, the mandate for the therapy cap to be applicable to hospital outpatient therapy (non-Critical Access Hospitals) departments expires. in order for this process to be extended into 2014 congressional action is required.

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