The year 2018 may well be described as the "year of living dangerously." After 20 years, the therapy cap may finally be gone. But what will happen in its absence? Congress proposes targeted reviews for providers, as well as lowering the "manual medical review" threshold from $3,700 to $3,000.
The National Defense Authorization Act (NDAA) includes a section regarding physical therapy assistants (PTAs) and certified occupational therapist assistants (COTAs). Will they be allowed to treat Tricare enrollees in 2018? There are new CPT® codes and changes ahead. The Centers for Medicare & Medicaid Services (CMS), in a move not anticipated by the therapy industry, re-valued codes and reimbursement for therapy providers and this action will change your reimbursement in 2018 – and it may not be a change for the better.
Total knee arthroplasty (TKA) has been removed from the CMS Inpatient-only list, thus creating an opportunity for therapy providers. Is your practice positioned to take advantage of the opportunity? Are there other outpatient opportunities to be captured before and after surgery?
Register now and learn about therapy changes that will impact you during this year of living dangerously in the world of rehab.
From this session, you will...
- Understand the new therapy codes and changes to existing therapy codes for 2018 – and why CMS will not adopt one of the new therapy codes.
- Understand why a surprise move by CMS in the Final Rule will affect your therapy reimbursement – and it may not always be for the better.
- Understand 2018 and the therapy cap, the exceptions process, and manual medical review. What will happen?
- Learn why physical therapist and occupational therapy assistants may be able to treat Tricare enrollees in 2018, and why they are not currently allowed.
- Learn why and how therapy providers continue to be targeted for post-payment, pre-payment review as well as audits and investigations.
CPT® is a registered trademark of the American Medical Association.