Compliance • Audits/Analysis • Reimbursement/Regulatory/Rehab • Education/Efficiency • Survey
Through your feedback and requests (thank you by the way) today’s blog is a clarification of the Therapy Caps.
In 2018, the Bipartisan Budget Act of 2018 (HR 1892), canceled the existence of Medicare Part B Therapy Caps. The historically named Medicare Part B Therapy Caps (now known as the KX Modifier Thresholds) went into effect January 1, 2019.
The Act maintained the requirement that a modifier be included on claims over the exception threshold. The modifier represents confirmation that the services are medically necessary.