Wednesday, April 4, 2018

Medicare Therapy Cap Updates

Medicare Therapy Cap Updates 

Based on 2018 legislation , the following changes have been made in regards to the Medicare Therapy Cap: 
  • ‘Manual Medical Review’ alerts has been changed to ‘Targeted Medical Review’ alerts.
  • The exceeded therapy cap alert has been updated from $3700 to $3000.
  • The exceeding therapy cap alert has been updated to trigger while the therapy amount is in the $2800-$2999 range. (Previously, alert triggered in the $3500-$3699 range.)



**this is from the latest webpt release 4/4/18** 

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