Rehabilitation services
Modified: 5/10/2012
Change request (CR) 7785 extends the therapy cap exceptions process through December 31, 2012; adds therapy services provided in outpatient hospital settings to the therapy cap; requires the national provider identifier (NPI) of the physician certifying therapy plan of care on the claim; and addresses new thresholds for mandatory medical review. [MM7785]
Modified: 5/10/2012
The Centers for Medicare & Medicaid Services’ (CMS) subject matter experts will provide an overview of the new coverage requirements for payment under the inpatient rehabilitation facility (IRF) prospective payment system (PPS) at a provider call May 31. [PERL 201205-23]
Modified: 4/23/2012
The Centers for Medicare & Medicaid Services (CMS) inpatient rehabilitation facility (IRF) software Web page has been updated with a note about the version 1.10 data specifications, information about using the current case mix group (CMG) grouper, and a set of XML test records for vendor use. [PERL 201204-40]
Modified: 4/9/2012
New releases of the Program for Evaluating Payment Patterns Electronic Report (PEPPER), with statistics through the fourth quarter of fiscal year (FY) 2011, will soon be available for hospitals, inpatient psychiatric facilities, and inpatient rehabilitation facilities. [PERL 201204-11]
Modified: 3/20/2012
The purpose of this article is to provide an awareness of the excessive use of the KX modifier. Continued use of this billing pattern may result in a provider-specific probe review.
Modified: 3/20/2012
The purpose of this article is to provide an awareness of the excessive use of the KX modifier. Continued use of this billing pattern may result in a provider-specific probe review.
Modified: 12/29/2006
Fee schedule amounts for calendar year 2007 for outpatient rehabilitation services.